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Text File  |  1994-06-02  |  4KB  |  61 lines
  1.  
  2.  
  3. ========================================================================
  4. | Register of FaxMail for Windows and/or FaxMail for DOS, FAX-V136.ZIP |
  5. |                                                                      |
  6. |                            ElectraSoft                1-713-261-0307 |
  7. |                       3207 Carmel Valley Drive                       |
  8. |                      MISSOURI CITY  TX  77459-3068                   |
  9. |== Please Print ======================================================|
  10. |                                                                      |
  11. | Date:____/____/____ Country:____________ Wk Phone:__________________ |
  12. |                                                                      |
  13. | Name:___________________________________ Hm Phone:__________________ |
  14. |                                                                      |
  15. | Address:________________________________ Fx Phone:__________________ |
  16. |                                                             _        |
  17. | City:______________________________ State:____ ZIP:_________________ |
  18. |======================================================================|
  19. | Disk size: [ ]3.5-1.4MB  [ ]5.25-1.2MB  [ ]Other:___________________ |
  20. |-----+----------------------------------------------------------------|
  21. | Qty | Item                                                 Amount    |
  22. |-----+----------------------------------------------------------------|
  23. |     |                                                                |
  24. |_____| FaxMail for Windows - - - - - - - - - - - - - $25.00 $_____.__ |
  25. |     |                                                                |
  26. |_____| FaxMail for DOS - - - - - - - - - - - - - - - $25.00 $_____.__ |
  27. |     |                                                                |
  28. |_____| 9 to 24 Pin Printer Translator  - - - - - - - $25.00 $_____.__ |
  29. |     |                                                                |
  30. |_____| Snapshot Screen to Disk or printer  - - - - - $25.00 $_____.__ |
  31. |                                                                      |
  32. | Shipping and handling - - - - - - - - - - - - - - -  $4.00 $    4.00 |
  33. |                                                                      |
  34. | Subtotal  - - - - - - - - - - - - - - - - - - - - - - - -  $_____.__ |
  35. |                                                                      |
  36. | Texas residents please add Sales Tax (8%) - - - - - - - -  $_____.__ |
  37. |                                                                      |
  38. | Total (Pay this amount) - - - - - - - - - - - - - - - -  US$_____.__ |
  39. |======================================================================|
  40. | Which Fax/Modem-Driver works best (found in your AUTOEXEC.BAT):      |
  41. | [ ]FM_ROCK2.COM  [ ]FM_ROCK1.COM  [ ]FM_ATT1I.COM  [ ]FM_ATT2I.COM   |
  42. | [ ]FM_PP1.COM    [ ]FM_CLS2I.COM  [ ]FM_CLS2E.COM  [ ]FM_DOVE1.COM   |
  43. | [ ]FM_DALAS.COM  [ ]FM_ZOOM2.COM  [ ]FM_ZYXEL.COM  [ ]FM_CLAS1.COM   |
  44. | [ ]CAS(none)                                                         |
  45. | Fax/Modem Brand/Mod#:_______________________________________________ |
  46. | Data Speed: [ ]1200bps [ ]2400bps [ ]9600bps [ ]14400bps [ ]16800bps |
  47. |  [ ]16800bps [ ]19200bps [ ]28800bps [ ]38400bps [ ]Other:______bps  |
  48. | FAX Speed: [ ]1200bps [ ]2400bps [ ]9600bps [ ]14400bps [ ]16800bps  |
  49. |             [ ]19200bps [ ]28800bps [ ]38400bps [ ]Other:______bps   |
  50. | Supported: [ ]HST [ ]V.32 [ ]V.32bis [ ]V.42bis [ ]Other:___________ |
  51. | Computer Brand:_____________________________________________________ |
  52. | Processor: [ ]8088 [ ]80286 [ ]80386 [ ]80486 [ ]Other:_____________ |
  53. | Machine Speed: [ ]25Mhz [ ]33Mhz [ ]50Mhz [ ]66Mhz [ ]Other:________ |
  54. | Display Type: [ ]CGA [ ]EGA [ ]VGA [ ]SVGA [ ]Other:________________ |
  55. | Floppy Drive(s): [ ]3.5, 1.4MB [ ]5.25 1.2MB [ ]Other:______________ |
  56. | HardDrive Brand/Mod#:_____________________________ size:__________MB |
  57. | Bugs or suggested improvements (print on back):_____________________ |
  58. | ____________________________________________________________________ |
  59. | Signature:________________________________________ Date:____________ |
  60. ========================================================================
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