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Text File  |  1992-05-13  |  4KB  |  165 lines
  1.  
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  9.      V-MailServer 1.22 Registration Form:
  10.  
  11.  
  12.      Name:     _____________________________________
  13.  
  14.  
  15.      Title:    _____________________________________
  16.  
  17.  
  18.      Company:  _____________________________________
  19.  
  20.  
  21.      Address:  _____________________________________
  22.  
  23.  
  24.                _____________________________________
  25.  
  26.  
  27.      City:     _____________________________________
  28.  
  29.  
  30.      State:    _________________ Zip: ______________
  31.  
  32.  
  33.      Telephone: (___)___________
  34.  
  35.      Fax:       (___)___________
  36.  
  37.      BBS:       (___)___________
  38.  
  39.  
  40.      Number of copies of V-MailServer: ______ @ $35 Can. ( $30 US )
  41.  
  42.      Amount enclosed: ____________ ( Please specify Can. or US dollars )
  43.      ( Cheque or Money Order only )
  44.  
  45.  
  46.                _____________________________________   _______________
  47.                               Signature                     Date
  48.  
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  51.  
  52.  
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  54.  
  55.      Following  is a  short questionairre  to help  us  identify the  types of
  56.      computers V-MailServer  is being used  on.   Please help  us improve  our
  57.      service   and  support  by  filling  it  out.    You   may  fill  it  out
  58.      electronically  and email  it to  us at  question@vsystem.wimsey.bc.ca if
  59.      you wish.
  60.  
  61.  
  62.      Computer Type:
  63.  
  64.      [ ] XT          [ ] 286      [ ] 386      [ ] 486
  65.  
  66.      [ ] ISA         [ ] EISA     [ ] MicroChannel
  67.  
  68.      [ ] Other:  ___________________________________________________
  69.  
  70.      DOS or OS/2 Version: __________________________________________
  71.  
  72.  
  73.      Do you use any memory management programs? [ ] Yes   [ ] No
  74.  
  75.      If yes, which ones? _______________________________________
  76.  
  77.  
  78.      Are you using the V-MailServer on a network?   Yes [ ]   No [ ]
  79.  
  80.      If yes, which network system? ___________________________________
  81.  
  82.  
  83.      Where did you get this copy of the V-MailServer?
  84.  
  85.      _________________________________________________________________
  86.  
  87.      _________________________________________________________________
  88.  
  89.  
  90.      Comments: _______________________________________________________
  91.  
  92.      _________________________________________________________________
  93.  
  94.      _________________________________________________________________
  95.  
  96.      _________________________________________________________________
  97.  
  98.      _________________________________________________________________
  99.  
  100.      _________________________________________________________________
  101.  
  102.      _________________________________________________________________
  103.  
  104.  
  105.  
  106.  
  107.  
  108.  
  109.  
  110.      Do have access to electronic mail on any of the following services?
  111.  
  112.      Compuserve:              ID: _______________________________
  113.  
  114.      Genie:                   Mail Address: _____________________
  115.  
  116.      Internet/Bitnet          Address: __________________________
  117.  
  118.      Other:                   Address: __________________________
  119.  
  120.  
  121.  
  122.  
  123.      What  is  your  company  or  organization's  primary  business  activity?
  124.      (Please check one only):
  125.  
  126.      [ ] Manufacturer of Computer Equipment, Computers, Software
  127.      [ ] Manufacturer - Other
  128.      [ ] Systems House
  129.      [ ] Computer Consultant
  130.      [ ] Computer Retailer/VAR/VAD/Distributor
  131.      [ ] Communications
  132.      [ ] Finance/Banking/Insurance
  133.      [ ] Education
  134.      [ ] Government - Federal
  135.      [ ] Government - Non-Federal
  136.      [ ] Research and Development
  137.      [ ] Data Processing/Computer Service
  138.      [ ] Health/Medical/Legal Service
  139.      [ ] Engineering/Architecture
  140.      [ ] Agriculture/Construction/Mining/Oil/Transportation/Utilities
  141.      [ ] Non-Computer Retailer/Distributor
  142.      [ ] Other Business or Service
  143.      [ ] Other __________________________________________________
  144.  
  145.  
  146.      Please indicate your primary business function: (Please check one only)
  147.  
  148.      [ ] DP/MIS
  149.      [ ] Systems, Programming
  150.      [ ] Communications
  151.      [ ] Engineering
  152.      [ ] Research/Development/Scientific
  153.      [ ] Accounting/Finance
  154.      [ ] Computer Consulting
  155.      [ ] Purchasing
  156.      [ ] Operations
  157.      [ ] Production
  158.      [ ] Education/Training
  159.      [ ] Marketing/Sales
  160.      [ ] Medical/Legal
  161.      [ ] Administration/Management
  162.      [ ] Other __________________________________________________
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  165.