home *** CD-ROM | disk | FTP | other *** search
/ Cream of the Crop 11 / Cream of the Crop 11-1.iso / database / idex219.zip / INFODEX.1 / REGISTER.DOC < prev    next >
Text File  |  1996-01-05  |  4KB  |  129 lines
  1.  
  2.  
  3.                    Stevenson Technical Services, Inc. (STSI)
  4.                             108 Second Avenue West
  5.                              Bertha, MN 56437-0297
  6.                              Phone/FAX: (218) 924-2050
  7.                          The STSI BBS: (218) 924-2060
  8.                       Internet: http://www.stevetech.com
  9.                          E-Mail: support@stevetech.com
  10.  
  11.                         Infodex 2.19 Registration Form
  12.  
  13.   Qty    Description                                Price Each      Total
  14.  
  15.   _____   Infodex Registration                           $34.95    ________
  16.             Includes newest version on 3 1/2" diskette, a manual,
  17.             technical support, removal of 50-record database
  18.             limit, and notification of udpates.
  19.  
  20.   _____   Infodex Site-License (# of Users? ____)       _______    ________
  21.  
  22.             # of Users      Price           # of Users      Price
  23.             ----------    ---------         ----------    ---------
  24.                  5         $150.00              50         $900.00
  25.                 10         $275.00             100        $1500.00
  26.                 20         $500.00            More?         CALL
  27.  
  28.  
  29.                                                         Sub-Total: ________
  30.  
  31.                            Minnesota Residents Add 6.5% Sales Tax: ________
  32.  
  33.       (Shipping & Handling, USA/Canada = $5.00, Foreign = $10.00): ________
  34.  
  35.                                                             Total: ________
  36.  
  37.  
  38.   Name: ___________________________________  Title: _______________________
  39.  
  40.   Company: ________________________________________________________________
  41.  
  42.   Address: ______________________________  City: __________________________
  43.  
  44.   State: ___________  Zip Code: _______________  Phone: ___________________
  45.  
  46.   Internet Address: _______________________________________________________
  47.  
  48.   Please Register Infodex To This Name: ___________________________________
  49.  
  50.     Method of Payment: ___ Visa/MC   ___ American Express   ___ Discover
  51.                        ___ Check/Money Order Enclosed
  52.  
  53.   Credit Card #: ________________________________  Expiration Date: ___/___
  54.  
  55.   Name on Card: ______________________  Signature: ________________________
  56.  
  57.  
  58.   Comments / Suggestions: _________________________________________________
  59.  
  60.   _________________________________________________________________________
  61.  
  62.  
  63.                                      Page 1
  64.  
  65.  
  66.  
  67.   Please take a minute to answer the following questions.  Your answers
  68.   will assist us in improving and marketing Infodex.
  69.  
  70.   (Check all that apply.)
  71.  
  72.  
  73.   Where did you hear about Infodex?
  74.  
  75.   [ ] BBS             [ ] Catalog/Magazine    [ ] Friend/Relative
  76.   [ ] Rack Vendor     [ ] User's Group        [ ] Other _______________
  77.  
  78.  
  79.   Please provide name of BBS/Catalog/Magazine/User's Group, (if possible)
  80.  
  81.   ______________________________________________________________________
  82.  
  83.  
  84.   Which version of Infodex do you use?
  85.  
  86.   [ ] INFODEX.EXE (Real-Mode)    [ ] INFODEXP.EXE (Protected-Mode)
  87.  
  88.  
  89.   What operating systems / environments do you use?
  90.  
  91.   [ ] DOS    [ ] Windows   [ ] DESQview/DESQview/X     [ ] OS/2
  92.  
  93.  
  94.   Would you be interested in seeing a Windows version of Infodex?
  95.  
  96.   [ ] Yes    [ ] No     [ ] Doesn't Matter
  97.  
  98.  
  99.   What feature(s) do you like the most about Infodex?  ____________________
  100.  
  101.   _________________________________________________________________________
  102.  
  103.   _________________________________________________________________________
  104.  
  105.  
  106.   What feature(s) would you like to see added to Infodex?  ________________
  107.  
  108.   _________________________________________________________________________
  109.  
  110.   _________________________________________________________________________
  111.  
  112.  
  113.   Additional Comments: ____________________________________________________
  114.  
  115.   _________________________________________________________________________
  116.  
  117.   _________________________________________________________________________
  118.  
  119.   _________________________________________________________________________
  120.  
  121.  
  122.     May We Quote You?    [ ] Yes    [ ] No    [ ] Doesn't Matter
  123.  
  124.  
  125.  
  126.  
  127.                                      Page 2
  128.  
  129.