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Text File  |  1995-08-06  |  2KB  |  58 lines
  1. Imagery v1.0 Registration Form
  2.  
  3.  
  4. Mail this form to:
  5.  
  6. Ursus Computing Pty. Ltd.
  7. PO BOX 116
  8. Adelaide 5000
  9. South Australia 
  10. Australia
  11.  
  12. Please Include a cheque/money order for US $50.00 (or AUS $65.00) for  
  13. the development version, or US $10.00 (or AUS $15.00) for the end-user
  14. version. The Cheque should be made out to Ursus Computing Pty. Ltd.
  15.  
  16. Full Name: __________________________________________________________
  17.  
  18. Company Name: _______________________________________________________
  19.  
  20. Development version only.
  21. -------------------------
  22.  
  23. Development Environment: ____________________________________________
  24.  
  25. Development/Target Hardware configuartion:
  26. _____________________________________________________________________
  27. _____________________________________________________________________
  28. _____________________________________________________________________
  29. _____________________________________________________________________
  30.  
  31.  
  32. E-Mail Address: _____________________________________________________
  33.  
  34. Full Postal Address:
  35. _____________________________________________________________________
  36. _____________________________________________________________________
  37. _____________________________________________________________________
  38. _____________________________________________________________________
  39.  
  40. How did you discover/get Imagery:
  41. _____________________________________________________________________
  42.  
  43. Recommendations for future versions:
  44. _____________________________________________________________________
  45. _____________________________________________________________________
  46. _____________________________________________________________________
  47.  
  48. Method of delivery: _________________________________________________
  49.  
  50. Quantity and Version:  
  51. (put the quantity in the brackets)
  52.  
  53.     Development (US $50) [  ]
  54.     End user    (US $10) [  ]
  55.  
  56.  
  57.  
  58.