FasType -- Registration and Payment Form Name: _______________________________________________________________________ Company: ____________________________________________________________________ Addr.________________________________________________________________________ City: _______________________________ Country:_______________________ State:_______________________________ Telephone:_______________________ Zip Code:____________________________ Today's Date:_______________________ My PC is a: (model)__________________________________________________________ My Operating System is: Windows 3.1 [ ] Windows-95 [ ] Windows-NT [ ] I obtained my evaluation copy of FasType from: (BBS/vendor)__________________ Quantity Registered Packages -- Description Unit Price Total Cost ======== ====================================== ========== ========== ________ FasType for Windows $29.00 __________ ________ Educational Site License $400.00 __________ ________ Corp./Gov't Site License $600.00 __________ ________ Right-to-Copy License( see price list) $_____.__ __________ ________ PC-FasType/VGA for MS-DOS $25.00 __________ ________ Software -- "KeyMoves" $29.95 __________ (ergonomic keyboarding tutorial) ________ A.S.P. CD-ROM Shareware Disk $17.95 __________ Sub-Total Mdse: _____________ NJ residents, please add NJ sales tax: 6% __________ Shipping/Handling: DOMESTIC --> add $3.00 __________ (choose one) CANADA --> add $5.00 __________ OVERSEAS --> add $10.00 __________ ORDER TOTAL: ______________ Method of Payment: Please complete the payment portion below: ALL CHECKS AND MONEY ORDERS MUST BE DRAWN ON U.S. BANK ACCOUNTS Payment: [ ]Check [ ]Money Order [ ]Purchase Order Call or Mail CREDIT CARD orders to Public (software) Library; they process ALL credit card orders for FasType. Call PsL at 800-2424-PSL or FAX: 713-524-6398 [ ]MASTERCARD [ ]VISA [ ]American Express [ ] Discover Credit card#: _________--_________--_________--_________ Exp. Date:____/____ Name on Card: _______________________________________________________________ Cardholder Signature: _______________________________________________________ ============================================================================= Trendtech Corporation: Mail checks, money orders, and P.O.'s to: Voice: U.S.A. (201) 694-8622 TRENDTECH CORPORATION FAX: U.S.A. (201) 694-2543 FasType/WIN Registration CompuServe: 76210,771 P.O. Box 3687 America On-Line: WJLFasType Wayne, NJ 07474-3687 U.S.A. ============================================================================= Federal ID # 22-2361270 Source: Shareware Evaluation Version 5.0 FasType for Windows -- Comment Form Your comments about this software and documentation are welcome. Please take a moment to fill out this form and mail it with your order. Name: _______________________________________________________________________ Company: ____________________________________________________________________ Addr. 1: ____________________________________________________________________ Addr. 2: ____________________________________________________________________ City: _______________________________ Country:_________________________ State:_______________________________ Telephone:_________________________ Zip Code:____________________________ Today's Date:_________________________ FasType Version No.:_________________ Files Dated:__________________________ Your comments:_______________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ ============================================================================= Voice: U.S.A. (201) 694-8622 Send to: TRENDTECH CORPORATION FAX: U.S.A. (201) 694-2543 FasType Comments CompuServe: 76210,771 P.O. Box 3687 America On-Line: WJLFasType Wayne, NJ 07474-3687 U.S.A. ============================================================================= Federal ID # 22-2361270 Source: Shareware Evaluation Version 5.0