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Text File  |  1995-07-17  |  4KB  |  129 lines
  1.  
  2.  
  3.                     Stevenson Technical Services, Inc. (STSI)
  4.                             108 Second Avenue West
  5.                             Bertha, MN 56437-0297
  6.                             Phone: (218) 924-2050
  7.                           FAX: (218) 924-2050 (Ext. 11)
  8.                       The STSI BBS: (218) 924-2060, N,8,1
  9.  
  10.                           BOOT'R 2.17 Registration Form
  11.  
  12.    Qty    Description                                Price Each    Total
  13.  
  14.   _____   BOOT'R Single-User Registration               $34.95    ________
  15.             Includes Printed Manual, 3 1/2" & 5 1/4" Diskettes
  16.  
  17.   _____   BOOT'R Site-License (# of Users? ____)       _______    ________
  18.  
  19.           # of Users      Price           # of Users      Price
  20.           ----------    ---------         ----------    ---------
  21.                5         $100.00              50         $400.00
  22.               10         $200.00             100         $500.00
  23.               20         $300.00            More?         CALL
  24.  
  25.  
  26.                                                     Sub-Total:    ________
  27.  
  28.                        Minnesota Residents Add 6.5% Sales Tax:    ________
  29.  
  30.   Shipping & Handling (US & Canada = $5.00, Foreign = $10.00):    ________
  31.  
  32.                                                         Total:    ________
  33.  
  34.  
  35.     Name: ___________________________________  Title: ____________________
  36.  
  37.   Company: _______________________________________________________________
  38.  
  39.   Address: ______________________________  City: _________________________
  40.  
  41.     State: ___________  Zip Code: ______________  Phone: _________________
  42.  
  43.   Internet Address: ______________________________________________________
  44.  
  45.   Please Register BOOT'R To This Name: ___________________________________
  46.  
  47.  
  48.     Method of Payment: ___ Visa      ___ MasterCard   ___ American Express
  49.                        ___ Discover  ___ Check/Money Order Enclosed
  50.  
  51.  
  52.   Credit Card #: _______________________________  Expiration Date: ___/___
  53.  
  54.   Name on Card: _____________________  Signature: ________________________
  55.  
  56.   Comments / Suggestions: ________________________________________________
  57.  
  58.   ________________________________________________________________________
  59.  
  60.   ________________________________________________________________________
  61.  
  62.  
  63.                                      Page 1
  64.  
  65.  
  66.  
  67.   Please take a minute to answer the following questions.  Your answers
  68.   will assist us  in  improving  and  marketing  BOOT'R.   (Check all that
  69.   apply.)
  70.  
  71.  
  72.   Where did you hear about BOOT'R?
  73.  
  74.     [ ] BBS             [ ] Catalog/Magazine    [ ] Friend/Relative
  75.     [ ] Rack Vendor     [ ] User's Group        [ ] Other _______________
  76.  
  77.  
  78.   Please provide name of BBS/Catalog/Magazine/User's Group, (if possible)
  79.  
  80.   ______________________________________________________________________
  81.  
  82.  
  83.   What operating systems / environments do you use?
  84.  
  85.     [ ] DOS    [ ] Windows   [ ] DESQview/DESQview/X     [ ] OS/2
  86.  
  87.  
  88.   What version of DOS do you use? ________________________________________
  89.  
  90.  
  91.   Do you use any of the following programs/utilities?
  92.  
  93.     [ ] Stacker    [ ] SuperStor    [ ] DoubleSpace
  94.  
  95.  
  96.   Why are you registering BOOT'R?
  97.  
  98.     [ ]  I'm honest by nature.
  99.     [ ]  The prelog delay is so annoying!
  100.     [ ]  Other ___________________________________________________________
  101.  
  102.  
  103.   What feature(s) do you like the most about BOOT'R? _____________________
  104.  
  105.   ________________________________________________________________________
  106.  
  107.   ________________________________________________________________________
  108.  
  109.  
  110.   What feature(s) would you like to see added to BOOT'R? _________________
  111.  
  112.   ________________________________________________________________________
  113.  
  114.   ________________________________________________________________________
  115.  
  116.  
  117.   Additional Comments: ___________________________________________________
  118.  
  119.   ________________________________________________________________________
  120.  
  121.   ________________________________________________________________________
  122.  
  123.  
  124.   May We Quote You?    [ ] Yes    [ ] No    [ ] Doesn't Matter
  125.  
  126.  
  127.                                      Page 2
  128.  
  129.