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Text File  |  1993-04-18  |  3KB  |  58 lines
  1. REGISTRATION FORM FOR:    Disk IMage Archiver    Version 1.4.A
  2. -----------------------------------------------------------------------------
  3.                   Copyright (C) 1992, 1993 by Ray Arachelian
  4.                              All Rights Reserved.
  5.  
  6.  
  7. Your name & title :_____________________________________________________
  8.  
  9.  
  10. Company Name      :_____________________________________________________
  11.  
  12.  
  13. Street Address    :_____________________________________________________
  14.  
  15.  
  16. City, State, Zip  :_____________________________________________________
  17.  
  18.  
  19.  
  20. -----------------------------------------------------------------------------
  21. Your status                  |Cost for 1st |Cost per| Number of | Total
  22.                              |PC           |extra PC| extra PC's|
  23. -----------------------------|-------------|--------|-----------|------------
  24. ( )  Private use             |    $10.00   |  N/A   |   N/A     |  $10
  25. -----------------------------|-------------|--------|-----------|------------
  26. ( )  Shareware author        |    $15.00   |  N/A   |   N/A     |  $15
  27. -----------------------------|-------------|--------|-----------|------------
  28. ( )  Non-profit organization |*   $40.00 + |  $5.00 |           |
  29. -----------------------------|-------------|--------|-----------|------------
  30. ( )  For profit organization |    $40.00 + |  $5.00 |           |
  31. -----------------------------|-------------|--------|-----------|------------
  32.  
  33. * If you work for a non-profit organization that accepts donations, I would
  34. like to offer DIM free of charge, however you must send me proof of your
  35. non-profit organization status, and a receipt for a donation of $40.00 plus
  36. $5.00 extra for extra PC's.  In other words, it would be as if you sent in
  37. the registration fee for DIM, and I donated that registration fee back to 
  38. your organization.  I will require proof of non-profit status and a receipt
  39. for the donation for tax purposes.  You must however register DIM to use it.
  40. Government agencies (state, city, federal or otherwise) are excluded from 
  41. this exception, unless they are schools or charities that accept donations.
  42.  
  43.  
  44. Comments:        ___________________________________________________________
  45.                    
  46.  
  47. ____________________________________________________________________________
  48.  
  49.                    
  50. ____________________________________________________________________________
  51.  
  52.  
  53. ____________________________________________________________________________
  54. Print, complete, and mail this form along with a check in American currency
  55. or its equivalent to:   Ray (Arsen) Arachelian
  56.                         48-21 40th Street #1B
  57.                          Sunnyside, NY 11104
  58.