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Text File  |  1990-06-14  |  3KB  |  67 lines
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  4.                         █  REGISTRATION FORM  █
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  8.    Contact: _________________________________  PO #: ___________________
  9.    Organization: ____________________________  PO Date: ________________
  10.    Address: _________________________________  E-Mail Address: _________
  11.    City: ____________________________________    _______________________
  12.    State: ___              zip: _____________    (MCI Mail Address,
  13.                                                     Compuserve ID#, etc.)
  14.    Voice Phone: (____) ____-_______ ext _____
  15.    Data  Phone: (____) ____-_______ ext _____  Baud: ______
  16.  
  17.    Product: Blaiz
  18.    Version: _____  Release Date: ___________  Upgrade from Version: _____
  19.    Software:    Number of Users: _____    Registered License Fee: $______
  20.    Source Code: Number of Users: _____   Source Code License Fee: $______
  21.    Printed Manuals:    Quantity: _____   Printed Manuals   Price: $______
  22.    Diskettes:          Quantity: _____   Diskettes         Price: $______
  23.                                            Shipping and Handling: $______
  24.       Support and Training Services:  Registration Fee & 1 unit:  $______
  25.       Support and Training Services:  plus  _____  added  units:  $______
  26.            Washington State Residents please add 8.1% Sales Tax:  $______
  27.                                                    Sub-Total: $__________
  28.                                Conversion Fee for Foreign Checks: $______
  29.  
  30.                         Enclose Total with Registration Form: $__________
  31.                         Make Checks payable to:  OurSoft
  32.  
  33.    Payment of registration fees for or sending your purchase order for
  34.    The Software constitutes your acceptance of the Registered License
  35.    Agreement.  Similarly, payment of registration fees for or sending
  36.  
  37.    your purchase order for support and/or training constitutes your
  38.    acceptance of the Support and Training Services Agreement.
  39.  
  40.    Please answer the following questions to help us support your needs
  41.    better.
  42.  
  43.    What is your favorite periodical and or information source for PC's
  44.    and PC Software?  __________________________________________________
  45.    From which Bulletin Board or other source did you obtain this
  46.    software?  _________________________________________________________
  47.  
  48.  
  49.    Is there a type of PC software which you wish you could obtain but
  50.    have never located, or for which you have never found a satisfactorily
  51.    performing product?  Please Describe.  (Add 2nd page if needed)_____
  52.    ____________________________________________________________________
  53.    ____________________________________________________________________
  54.  
  55.    Do you have suggestions you would appreciate as a future enhancement
  56.    to this product?  Please Describe.  (Add 2nd page if needed)________
  57.    ____________________________________________________________________
  58.    ____________________________________________________________________
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