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Text File  |  1996-04-05  |  3KB  |  60 lines
  1.  IRDC                    *REGISTRATION FORM*                     IRDCw
  2.  INFRA-RED Direct Control         INFRA-RED Direct Control for WINDOWS
  3.  ---------------------------------------------------------------------
  4.  Complete this form and send with a Cheque/Money Order to:
  5.    DAVID HURAS                  +-----------------++-----------------+
  6.    37 Ruddell Crescent          | To Register via ||Registered Users |
  7.    Georgetown, Ontario  L7G 5N4 |   COMPUSERVE    ||See DISKETTE.FRM |
  8.    CANADA                       |See REGISTER.CIS ||for disk upgrades|
  9.                                 +-----------------++-----------------+
  10.                                 PRICE (each)
  11.                                USA   CANADA   OTHER  Quantity   Total
  12.  ----------------------------------------------------------------------
  13.  
  14.  ( ) IRDC(DOS) Registration  $25.00  $25.00  $25.00US  _____   $_______
  15.  ----------------------------------------------------
  16.  
  17.  ( ) IRDCw(WIN)Registration  $25.00  $25.00  $25.00US  ______  $_______
  18.  ----------------------------------------------------
  19.  
  20.  ( ) IRDCw + IRDC(DOS)       $40.00  $40.00  $40.00US  ______  $_______
  21.  ----------------------------------------------------
  22.  ( ) IRDC Discounted Reg.    $15.00  $15.00  $15.00US
  23.      IRDCw Serial #:_______________________(Required)  ______  $_______
  24.  ----------------------------------------------------
  25.  ( ) IRDCw Discounted Reg.   $15.00  $15.00  $15.00US
  26.      IRDC Serial #: _______________________(Required)  ______  $_______
  27.  ----------------------------------------------------
  28.      SPECIAL SERIAL CABLE
  29.      See the CABLE.DOC file for a Dealer List
  30.  ----------------------------------------------------
  31.  
  32.        ADD SHIPPING ($0.00 CANADA/USA, $2.50 OTHER)            $_______
  33.  
  34.      TOTAL ENCLOSED............................................$_______
  35.  
  36.  PRICES are quoted by shipping destination.     +--------------------+
  37.  USA Prices are quoted in U.S. Dollars.         | Cheques must be    |
  38.  CANADIAN Prices are quoted in Canadian Dollars.| drawn on Banks in  |
  39.  OTHER Prices are quoted in U.S. Dollars.       | the USA or CANADA. |
  40.                                                 | Otherwise include a|
  41.  Shipping Address (PLEASE PRINT)                | Money Order-PLEASE |
  42.  ----------------                               | DO NOT SEND CASH   |
  43.                                                 +--------------------+
  44.      Name:___________________________________________________________
  45.  
  46.   Company:___________________________________________________________
  47.  
  48.   Address:___________________________________________________________
  49.  
  50.           ___________________________________________________________
  51.  
  52.     Phone:(Voice)_________________ (FAX) ____________________________
  53.  
  54.    E-Mail:(Compuserve)__________________(Internet)___________________
  55.  
  56.           ( ) 3.5" Diskette  -OR-  ( ) 5.25" Diskette
  57.  
  58.                        THANK YOU FOR YOUR SUPPORT!          IRDC v2.40
  59.  
  60.