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- ┌────────────────────────────────────────────────────────────────────────────┐
- │░░░▒▒▒▓▓▓ Ice Technologies Utilities Australian Registration Form ▓▓▓▒▒▒░░░│
- └────────────────────────────────────────────────────────────────────────────┘
-
- The following personal and BBS information is necessary for me to accept
- and process your registration. The sysop name and BBS name defined below
- will be used for your key(s) and must match those defined in your setup.
-
- All registrations must be paid in Australian dollars.
-
- BBS Information:
- ----------------
-
- Sysop Name [_________________________________________________]
-
- BBS Name [_________________________________________________]
-
- BBS Software [_____________________________] Version [_______]
-
- Computer [_________________________________________________]
-
- Modem Type [_________________________________________________]
-
- BBS Phone [___________________] FidoNet [_] : [____] / [____]
-
- Sysop name and BBS name must match those defined in your BBS setup.
-
- Address Details:
- ----------------
-
- Real Name [_________________________________________________]
-
- Address [_________________________________________________]
-
- Suburb [_________________________________________________]
-
- State [__________________________] Post Code [________]
-
- Country [________________] Voice Phone [________________]
-
- Internet email [_____________________________]
-
- ┌────────────────────────────────────────────────────────────────────────────┐
- │ Individual Packages Price Amount │
- └────────────────────────────────────────────────────────────────────────────┘
-
- IceBank Deluxe timebank system $20 AUS [ ]
- IceCBV Cool callback verifier for RA $20 AUS [ ]
- IceChat Deluxe split-screen chatter $20 AUS [ ]
- IceEdit Deluxe full-screen msg editor $20 AUS [ ]
- IceMGR Nightly maintenance utility $15 AUS [ ]
- IceNote Note to all users door $15 AUS [ ]
- IceUser RemoteAccess online user editor $15 AUS [ ]
- ------
- ______
-
- If you have selected more than one package, recieve
- a $3 discount for each *additional* package from
- the *total* cost, for a total discount of $9.00 on
- 4 packages only. ie:
-
- 1 Package, $0 discount; 2 Packages, $3 discount ------
- 3 Packages, $6 discount; 4 Packages, $9 discount - ______
-
- ┌────────────────────────────────────────────────────────────────────────────┐
- │ Shipping Costs │
- └────────────────────────────────────────────────────────────────────────────┘
-
- Send key(s) via internet e-mail FREE [ ]
- Send key(s) via fidonet crash netmail $2 AUS [ ]
- Send key(s) via 3 1/2 disk $5 AUS [ ]
- I will poll my key(s) from Lateline BBS FREE [ ]
- I will log-in as a user of Lateline BBS FREE [ ]
- ------
- TOTAL COST: ______
-
- If you selected to log in as a user of Lateline BBS, please fill in
- your user information:
-
- Account : [___________________________________]
- Password : [_______________]
-
- If you wish to poll Lateline to collect your key(s):
- ----------------------------------------------------
-
- Session Password (maximum of 8 characters) [___________________]
-
- ┌────────────────────────────────────────────────────────────────────────────┐
- │ Methods of payment │
- └────────────────────────────────────────────────────────────────────────────┘
-
- [ ] Personal Cheque (Payable to John Piper)
- [ ] Money Order (Payable to John Piper)
-
- Note: Please do not send cash via postal mail.
-
-
- Comments and Bug Reports:
- -------------------------
-
- __________________________________________________________________
-
- __________________________________________________________________
-
- __________________________________________________________________
-
- __________________________________________________________________
-
- __________________________________________________________________
-
-
- Registration Agreement:
- -----------------------
-
- Unsigned agreements will NOT be processed.
-
- Upon receipt of the registration key, I hereby promise that I will
- be the only one using this key. I will not give it out to anybody,
- no matter how much they beg and cry, it is for my use only.
-
- I understand that if I give this key out, or it is removed from my
- possession, I am in violation of this agreement. I also understand
- that upon violation of this agreement, legal action may be taken
- against myself.
-
-
- Your signature: [_________________________________________]
-
- Current date: [_____-_____-________]
-
-
- rev. 12.20.96
-
- Send registration to: Mr. John Piper
- Post Office Box 237
- Penshurst, NSW, 2222
- Australia
-