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Text File  |  1994-07-26  |  4KB  |  111 lines

  1.                               Fantazia Concepts
  2.                                 P.O. Box 5142
  3.                             Willowick, Ohio 44095
  4.  
  5. Serial Number:____________________                   Today's Date:___/___/___
  6.   You can also Fax this form to 216-951-9241 or EMail to FantaziaC@AOL.COM
  7.                    Registration form for "4000 Fonts"
  8. -------------------------------------------------------------------------------
  9.  
  10. Company Name:_____________________________________
  11.  
  12. Name:_____________________________________________ E-Mail Address:____________
  13.  
  14. Address:_____________________________________   Apt.:_______
  15.  
  16. City:______________________________  State:____   Zipcode:__________ -_______
  17.  
  18. Phone Number (Optional):_____-_____-_______ Ext. ________
  19.  
  20. Fax Number (Optional):_____-_____-_______
  21.  
  22. Country (Blank if USA):_______________________
  23.  
  24. Where did you purchase this CD:_______________________________________
  25.  
  26. Price Paid:$______.___        Date Purchased: ___/___/___
  27.  
  28. How would you rate this CD-Rom Overall: 0 1 2 3 4 5 6 7 8 9 10
  29.                  0=Very Bad  10=Excellent
  30.  
  31. How do you like our menu system for our CD-Rom: 0 1 2 3 4 5 6 7 8 9 10
  32.              0=Very hard to use 5=Confusing 10=Excellent
  33.  
  34. What type of computer do you own? (Ex. Dell 486/33):___________________________
  35.  
  36. What type of CD-ROM Drive do you own? (Manufacturer/Model)_____________________
  37.  
  38. What type of Video Card do you have in your system?:___________________________
  39.  
  40. What type of Sound Card do you have in your system?:___________________________
  41.  
  42. What do you like/dislike about this CD?
  43.  
  44. _______________________________________________________________________________
  45.  
  46. _______________________________________________________________________________
  47.  
  48. _______________________________________________________________________________
  49.  
  50. _______________________________________________________________________________
  51.  
  52. Would you like to be on our mailing list?      Yes_____ No_____
  53.  
  54. Note: Our mailing list is not sold or given to any other company
  55.  
  56. Do you know of anyone that would also be interested in being
  57. notified of any future products by our company?
  58.  
  59. If Yes, Please complete the following information:
  60.  
  61.  
  62. Company Name:_____________________________________
  63.  
  64. Name:_________________________________________________
  65.  
  66. Address:_____________________________________   Apt.:_______
  67.  
  68. City:______________________________  State:____   Zipcode:__________ -_______
  69.  
  70. Phone Number (Optional):_____-_____-_______ Ext. ________
  71.  
  72. Fax Number (Optional):_____-_____-_______
  73.  
  74. Country (Blank if USA):_______________________
  75. ------------------------------------------------------------------------------
  76.  
  77. Company Name:_____________________________________
  78.  
  79. Name:_________________________________________________
  80.  
  81. Address:_____________________________________   Apt.:_______
  82.  
  83. City:______________________________  State:____   Zipcode:__________ -_______
  84.  
  85. Phone Number (Optional):_____-_____-_______ Ext. ________
  86.  
  87. Fax Number (Optional):_____-_____-_______
  88.  
  89. Country (Blank if USA):_______________________
  90. ------------------------------------------------------------------------------
  91.  
  92. Company Name:_____________________________________
  93.  
  94. Name:_________________________________________________
  95.  
  96. Address:_____________________________________   Apt.:_______
  97.  
  98. City:______________________________  State:____   Zipcode:__________ -_______
  99.  
  100. Phone Number (Optional):_____-_____-_______ Ext. ________
  101.  
  102. Fax Number (Optional):_____-_____-_______
  103.  
  104. Country (Blank if USA):_______________________
  105.  
  106. Thank you for taking the time to fill out the registration form.
  107. Please Mail this form to the address on the top of this form.
  108.  
  109. Fantazia Concepts
  110.  
  111.