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Text File  |  1994-01-19  |  4KB  |  113 lines
  1. ---------------------------------------------------------------------------
  2.                         NIX/Gate - ORDER FORM
  3. ---------------------------------------------------------------------------
  4.  (Please see the CREDIT.FRM for instructions on ordering via credit card).
  5.  
  6.          YOUR NAME : _______________________________   (AS SHOULD APPEAR IN
  7.                                                         REGISTRATION)
  8.     POSTAL ADDRESS : ______________________________________________________
  9.  
  10.                      ______________________________________________________
  11.  
  12. VOICE PHONE NUMBER : ______________________
  13.  
  14.  NETWORK ADDRESSES : ____________________________________   (IF APPLICABLE)
  15.  
  16.   BBS PHONE NUMBER : ______________________                 (IF APPLICABLE)
  17.  
  18.  BEST TIME TO CALL : __________________           OUR PASSWORD : __________
  19.           (ONLY IF YOU WISH TO RECEIVE YOUR ORDER BY A MESSAGE ON YOUR BBS)
  20.  
  21.                                 ___
  22. I WISH TO RECEIVE MY ORDER BY: |   | - FIDONET "CRASHMAIL"
  23.                                |___|                           
  24.                                 ___
  25.                                |   | - INTERNET E-MAIL
  26.                                |___|
  27.                                 ___
  28.                                |   | - CALL TO SOUTHEASTERN DATALINK    
  29.                                |___|
  30.  
  31.  
  32. I HAVE ALSO SENT PAYMENT OF $15 (FIFTEEN) AMERICAN DOLLARS IN THE FORM OF:
  33.                                 ___
  34.                                |   | - CASH
  35.                                |___|
  36.                                 ___
  37.                                |   | - PERSONAL CHECK
  38.                                |___|
  39.                                 ___
  40.                                |   | - MONEY ORDER
  41.                                |___|
  42.  
  43. MADE PAYABLE TO: SCOTT BURKETT
  44.  
  45.  
  46.  
  47.                                                ____________________________
  48.                                                (SIGNATURE)
  49.  
  50.                MAIL TO:   SCOTT BURKETT
  51.                           7088 Stoneybrook Drive
  52.                           COLUMBUS, GEORGIA 31909
  53.  
  54. +-- OFFICE USE ONLY ------------------------------------------------------+
  55. |                                                                         |
  56. | Rcvd : _______  Date : _________  S.N. : _________  Key : _____________ |
  57. +-------------------------------------------------------------------------+
  58.  
  59.  
  60. ---------------------------------------------------------------------------
  61.                         NIX/Gate - ORDER FORM
  62. ---------------------------------------------------------------------------
  63.  
  64. WHERE DID YOU RECEIVE YOUR COPY OF NIX/GATE?  WHERE DID YOU FIRST HEAR OF IT?
  65.  
  66.              ____________________________________________________________
  67.  
  68.  
  69. ARE YOU CURRENTLY RUNNING A SIMILAR PACKAGE?  IF YES, PLEASE EXPLAIN
  70. YOUR REASONS FOR CHOOSING NIX/GATE:
  71.  
  72.              ____________________________________________________________
  73.              
  74.              ____________________________________________________________
  75.              
  76.              ____________________________________________________________
  77.  
  78.  
  79. WHICH BBS AND VERSION ARE YOU USING?  (EG. MAXIMUS v2.01, RA v2.00, etc)
  80.  
  81.              ____________________________________________________________
  82.  
  83.  
  84. WHAT DO YOU LIKE MOST ABOUT NIX/GATE?
  85.  
  86.              ____________________________________________________________
  87.  
  88.              ____________________________________________________________
  89.  
  90.              ____________________________________________________________
  91.  
  92.  
  93. WHAT CHANGES OR ADDITIONS WOULD YOU LIKE TO SEE IN FUTURE VERSIONS?
  94.  
  95.              ____________________________________________________________
  96.  
  97.              ____________________________________________________________
  98.  
  99.              ____________________________________________________________
  100.  
  101.  
  102. DO YOU HAVE ANY ADDITIONAL COMMENTS?
  103.  
  104.              ____________________________________________________________
  105.  
  106.              ____________________________________________________________
  107.  
  108.              ____________________________________________________________
  109.  
  110.  
  111. ------------------------------------------------------------------------------
  112.  
  113.