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Text File  |  1995-02-28  |  2KB  |  64 lines
  1.                     QuickView Registration Form             Ver. 1.0
  2.  
  3.  
  4.     Name: __________________________________________________________
  5.  
  6.     Company: (if applicable) _______________________________________
  7.  
  8.     Address: _______________________________________________________
  9.  
  10.              _______________________________________________________
  11.  
  12.              _______________________________________________________
  13.  
  14.     Country: _______________________________________________________
  15.  
  16.     Email address: (optional) ______________________________________
  17.  
  18.     I got QuickView from: __________________________________________
  19.  
  20.     Please also answer the following questions concerning your
  21.     system. It helps me if problems occur.
  22.  
  23.     CPU Type: ______________________________________________________
  24.  
  25.     Graphics card: _________________________________________________
  26.  
  27.     Soundcard: _____________________________________________________
  28.  
  29.  
  30.  
  31.     QuickView current shareware version: (3 DM or US$2) ____________
  32.  
  33.     QuickView registration: (35 DM or US$25)            ____________
  34.  
  35.     Foreign cheque surcharge: (US$10)                   ____________
  36.  
  37.     Shipping & Handling
  38.     (5 DM or US$4 inside Europe, 7 DM or US$5 other)    ____________
  39.  
  40.                                                         ------------
  41.  
  42.  
  43.                                              Total:  _______________
  44.  
  45.     Please mark with X:
  46.     Payment:   [ ]  cash, US$ or DM
  47.                [ ]  Eurocheque, DM only
  48.                [ ]  other cheque, add surchage of US$10
  49.                [ ]  postal money order, DM only
  50.  
  51.     Disk size: [ ]  5.25" (1.2 Mb)
  52.                [ ]  3.5" (1.44 Mb)
  53.  
  54.     Comments, bug reports, wishes:
  55.  
  56.     ________________________________________________________________
  57.  
  58.     ________________________________________________________________
  59.  
  60.     ________________________________________________________________
  61.  
  62.     ________________________________________________________________
  63.  
  64.