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REGISTER.FRM
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1996-06-27
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4KB
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116 lines
-------------------------
DOS Concurrent Disk Cache
Registration Form
_________________________
A. REGISTRANT - SHIPPING ADDRESS
Name____________________________________________________________________
Company_________________________________________________________________
Address_________________________________________________________________
Address_________________________________________________________________
Country_____________________________ Mail Code_________________________
Email___________________________________________________________________
B. PAYMENT
Number of registrations (if group registration)_________________________
Registration fee (Per person) $____________ (Subtotal) $________________
Registration Serial No. (if upgrade)____________________________________
Registration Upgrade fee $________________ (Subtotal) $________________
S&H $______________________________________ (Subtotal) $________________
Currency________________ TOTAL__________________________________________
(Yen or US$)
C. OTHERS
Payment method (mark one) [ ]PsL (send this form only)
[ ]CIS (send this form only)
[ ]Money order (send with this form)
[ ]Cashier's check (send with this form)
Floppy preference (mark (n)one) [ ] 3.5 (default) [ ] 5.25
Do you need upgrade notice (mark (n)one) ?
[ ] No (default) [ ] Every major upgrade [ ] Every upgrade
D. AFTER FILLING OUT ABOVE PARTS
Date_____________________ Signature_____________________________________
8<----------------------Cut-Here-And-Mail-Above----------------------->8
Mail Address for money order, cashier's check:
Send above form with your payment to:-
horio shoichi
c/o Pointer Software, Inc.
1-2-26 Chuo, Kashiwa,
Chiba, Japan 277
Tel +81-0471-67-2571
Fax +81-0471-67-2633
Group registration :-
- Use this form as many as necessary to differentiate
above REGISTRANT and OTHERS
- Fill above PAYMENT in one and only one form
The person with such filling is the expected group
representative
- Send all forms for the group in one correspondence
For simplicity shipping to unidentified registrants is
done to the address of above expected representative
For all other registrations:
Most registration informations are given to the author from
PsL or CIS so if deault values (e.g., shipping address using
expected group representative, 3.5 inch floppy) are acceptable
then you may not need this form.
If you have any amendment use and send above form to:-
(internet) vye01756@niftyserve.or.jp
(CIS) horio shoichi 100457,2516
-or-
above fax
or, if much writedown is not necessary, call above.
Group registration via PsL :-
- Use this form as many as necessary to differentiate
above REGISTRANT and OTHERS, including the person
who contacted PsL, who is the expected group
representative
- Send all forms for the group in one correspondence
For simplicity shipping to unidentified registrants is
done to the address of above expected representative
Please be very prompt since the matter is related to shipping