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Text File  |  1995-02-14  |  4KB  |  129 lines
  1.  
  2.  
  3.                     Stevenson Technical Services, Inc. (STSI)
  4.                             108 Second Avenue West
  5.                             Bertha, MN 56437-0297
  6.                             Phone: (218) 924-2050
  7.                           FAX: (218) 924-2050 (Ext. 11)
  8.                       The STSI BBS: (218) 924-2060, N,8,1
  9.  
  10.                         Infodex 2.13 Registration Form
  11.  
  12.   Qty    Description                                Price Each      Total
  13.  
  14.   _____   Infodex Registration                           $34.95    ________
  15.             Includes newest version on 3 1/2" & 5 1/4" diskettes,
  16.             a manual, technical support, and notification of udpates.
  17.  
  18.   _____   Infodex Site-License (# of Users? ____)       _______    ________
  19.  
  20.             # of Users      Price           # of Users      Price
  21.             ----------    ---------         ----------    ---------
  22.                  5         $150.00              50         $900.00
  23.                 10         $275.00             100        $1500.00
  24.                 20         $500.00            More?         CALL
  25.  
  26.  
  27.                                                         Sub-Total: ________
  28.  
  29.                            Minnesota Residents Add 6.5% Sales Tax: ________
  30.  
  31.       (Shipping & Handling, USA/Canada = $5.00, Foreign = $10.00): ________
  32.  
  33.                                                             Total: ________
  34.  
  35.  
  36.   Name: ___________________________________  Title: _______________________
  37.  
  38.   Company: ________________________________________________________________
  39.  
  40.   Address: ______________________________  City: __________________________
  41.  
  42.   State: ___________  Zip Code: _______________  Phone: ___________________
  43.  
  44.   Please Register Infodex To This Name: ___________________________________
  45.  
  46.  
  47.     Method of Payment: ___ Visa/MC   ___ American Express   ___ Discover
  48.                        ___ Check/Money Order Enclosed
  49.            (Checks/MO's must be in U.S. Funds drawn on a U.S. Bank!)
  50.  
  51.   Credit Card #: ________________________________  Expiration Date: ___/___
  52.  
  53.   Name on Card: ______________________  Signature: ________________________
  54.  
  55.  
  56.   Comments / Suggestions: _________________________________________________
  57.  
  58.   _________________________________________________________________________
  59.  
  60.   _________________________________________________________________________
  61.  
  62.  
  63.                                      Page 1
  64.  
  65.  
  66.  
  67.   Please take a minute to answer the following questions.  Your answers
  68.   will assist us in improving and marketing Infodex.
  69.  
  70.   (Check all that apply.)
  71.  
  72.  
  73.   Where did you hear about Infodex?
  74.  
  75.   [ ] BBS             [ ] Catalog/Magazine    [ ] Friend/Relative
  76.   [ ] Rack Vendor     [ ] User's Group        [ ] Other _______________
  77.  
  78.  
  79.   Please provide name of BBS/Catalog/Magazine/User's Group, (if possible)
  80.  
  81.   ______________________________________________________________________
  82.  
  83.  
  84.   What operating systems / environments do you use?
  85.  
  86.   [ ] DOS    [ ] Windows   [ ] DESQview/DESQview/X     [ ] OS/2
  87.  
  88.  
  89.   Would you be interested in seeing a Windows version of Infodex?
  90.  
  91.   [ ] Yes    [ ] No     [ ] Doesn't Matter
  92.  
  93.  
  94.   What feature(s) do you like the most about Infodex?  ____________________
  95.  
  96.   _________________________________________________________________________
  97.  
  98.   _________________________________________________________________________
  99.  
  100.  
  101.   What feature(s) would you like to see added to Infodex?  ________________
  102.  
  103.   _________________________________________________________________________
  104.  
  105.   _________________________________________________________________________
  106.  
  107.  
  108.   Additional Comments: ____________________________________________________
  109.  
  110.   _________________________________________________________________________
  111.  
  112.   _________________________________________________________________________
  113.  
  114.   _________________________________________________________________________
  115.  
  116.  
  117.     May We Quote You?    [ ] Yes    [ ] No    [ ] Doesn't Matter
  118.  
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  127.                                      Page 2
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