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Text File  |  1996-07-13  |  4KB  |  94 lines
  1.            ██████╗  ████████╗ ██╗      ███████╗
  2.            ██╔══██╗ ╚══██╔══╝ ██║      ██╔════╝    Basic Trauma Life Support
  3.            ██████╔╝    ██║    ██║      ███████╗
  4.            ██╔══██╗    ██║    ██║      ╚════██║    REGISTRATION FORM
  5.            ██████╔╝    ██║    ███████╗ ███████║
  6.            ╚═════╝     ╚═╝    ╚══════╝ ╚══════╝
  7.                                  by KA_Soft (R)
  8.  
  9. B-BTLS ... Basic BTLS Course Study Program .............. 250 Questions
  10. A-BTLS ... Advanced BTLS Course Study Program ........... 250 Questions
  11.  
  12. FOR A TOTAL OF ........................................ - 500 Questions
  13.  
  14. -----------------------------------------------------------------------------
  15.  
  16. COST OF REGISTRATION SINGLE USER = $10.00
  17. SITE LICENSE                     = Please see documentation in this packet.
  18.  
  19. ADVANTAGES TO REGISTERING KA_SOFT EMS SOFTWARE:
  20.  
  21.         1.  Free Updates if downloaded from my BBS.
  22.         2.  Low $5.00 handling fee if mailed via postal service or internet.
  23.         3.  Free limited-time access to Newberry BBS (30 min per day).
  24.         4.  50% discount from regular price for extended access to the BBS.
  25.         5.  Removal of the UNREGISTERED SHAREWARE nag, and replacement with
  26.             REGISTERED TO [YOUR NAME HERE].
  27.         6.  The warm, fuzzy, feeling that comes with registering the software
  28.             that you use.
  29.  
  30. -----------------------------------------------------------------------------
  31.  
  32. SITE LICENSE:
  33.  
  34. All corporate, business, government or other commercial, public, or private
  35. users of KA_Soft Shareware must be licensed.  We offer quantity discounts as
  36. well as site licensing.  Please see BTLS.DOC for further information on site
  37. licensing.
  38.  
  39. -----------------------------------------------------------------------------
  40.  
  41.         Remit to:       Ken Anderson
  42.                         PO Box #1928
  43.                         Los Fresnos, Tx  78566-1928
  44.  
  45. Quantity:       Description:                      Cost:           Amount:
  46.  
  47.                 BASIC TRAUMA LIFE SUPPORT STUDY PROGRAM
  48.                   - B-BTLS - Basic Course
  49.                   - A-BTLS - Advanced Course
  50.  
  51. ________        REGISTER ALL ABOVE FOR:           $10.00        ___________
  52.  
  53.                          Shipping Charges:      $Free if downloaded from BBS.
  54.                          By US Mail:              $ 5.00        ___________
  55.  
  56.                          TOTAL: ......................          ___________
  57.  
  58.  
  59. Payment:  Please send payment by check or money order.
  60.           I cannot be responsible for cash sent by mail.
  61.  
  62.  
  63. NAME:      __________________________________________________________________
  64.  
  65. COMPANY:   __________________________________________________________________
  66.  
  67. ADDRESS:   ________________________________________
  68.            ________________________________________
  69.            ________________________________________
  70.  
  71. WORK PHONE: (    ) ____-______          HOME PHONE: (    ) ____-______
  72.  
  73. THE FOLLOWING INFORMATION IS
  74. NEEDED IF YOU WISH US TO SET
  75. YOU UP WITH AN ACCOUNT ON OUR
  76. SUPPORT BBS:
  77.  
  78. LOG-IN NAME: ___________________   ____________________________
  79.                    first                      last
  80.  
  81. ALIAS:       _________________________________
  82.                         optional
  83.  
  84. PASSWORD:    ______________________________________________
  85.              must be at least 4 but less than 16 characters
  86.  
  87.  
  88. COMMENTS:  __________________________________________________________________
  89.            __________________________________________________________________
  90.  
  91. -------------------------------End Registration------------------------------
  92.  
  93.  
  94.