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Text File  |  1993-06-28  |  3KB  |  98 lines
  1. LJVGA/LQVGA REGISTRATION FORM
  2.  
  3. v2.00
  4.  
  5.  
  6. Please complete this form and mail it with your check or money
  7. order to:
  8.  
  9.                         Ares Technologies
  10.                          243 Fairfax Rd.
  11.                       Blacksburg, VA  24060
  12.  
  13.  
  14.             Name: _________________________________________________________
  15.  
  16.          Company: _________________________________________________________
  17.  
  18.            Title: _________________________________________________________
  19.  
  20.          Address: _________________________________________________________
  21.  
  22.                   _________________________________________________________
  23.  
  24. City, State, Zip: _________________________________________________________
  25.  
  26.      Voice phone: ___________________________
  27.  
  28.       Data phone: ___________________________
  29.  
  30.              FAX: ___________________________
  31.  
  32.            eMail: _________________________________________________________
  33.  
  34.    Diskette format:   []  5.25" disk     []  3.5" disk
  35.  
  36.   Operating System:   []  DOS 3.3        []  DOS 4.0        []  DOS 5.0
  37.                       []  DRDOS 5.0      []  DRDOS 6.0
  38.                       []  Other:
  39.  
  40.                CPU:   []  8086    []  80286    []  80386    []  80486
  41.  
  42. Current S/N: ____________________________   (for reference only)
  43.  
  44. Where did you get LJVGA? : ________________________________________________
  45.  
  46. Additional comments or suggestions:
  47.  
  48.  
  49.  
  50.  
  51.  
  52.  
  53.  
  54.  
  55.  
  56.  
  57.  
  58. Single-User License - for one user only:
  59.  
  60.           Registration only                                       $10  ____
  61.  
  62.           Full Registration, includes diskette with
  63.           current version and next major update                   $20  ____
  64.  
  65.           Lifetime Registration, include permanent registration
  66.           and automatic shipping of every release                 $50  ____
  67.  
  68.  
  69.  
  70. Site License - for multiple users:
  71. Includes one diskette with the current version and one diskette
  72. with the next major update.
  73.  
  74.             2 -  10 computers   $20/ea.                    ___  x $20  ____
  75.            11 -  25 computers   $15/ea.                    ___  x $15  ____
  76.            26 -  50 computers   $12/ea.                    ___  x $12  ____
  77.            51 - 100 computers   $10/ea.                    ___  x $10  ____
  78.           over 100 computers    $1000 one-time fee
  79.  
  80.  
  81. Additional diskettes available at $7 each.
  82. (Full registration or site license only.)                  ___  x $7   ____
  83.  
  84.  
  85. Please add $4 shipping and handling per order                          ____
  86.  
  87.  
  88.  
  89.                                             Total Enclosed             ____
  90.  
  91.  
  92.  
  93.  
  94.  
  95.  
  96. Thank you for your support!
  97.  
  98.