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regform.txt
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1995-03-06
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3KB
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Bricklayer for Windows v1.7 Registration Form
Vanilla-Extract Software
==================================================================
[Name]
Title _______
Last Name ____________________
First Name ____________________ Initial __
==================================================================
[Address]
if USA:
Address _______________________________________________
City _______________________________________________
State, Zip __ _____-____
if Outside USA:
Address __________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
Country ____________________________
email address _____________________
Would you like to be notified about new
products/releases via email ? [ ] Yes [ ] No
==================================================================
[Additional Information]
Where did you find Bricklayer (ftp/internet, online service,
BBS, friend, etc.) ?
What Hardware and OS are you using ?
Any Comments/Suggestions regarding Bricklayer ?
==================================================================
Pricing Information
==================================================================
Description Qty Unit Price Total
------------------------------------------------------------------
Single-User Registration $10.00
..................................................................
Additional Single-User License $ 5.00
..................................................................
10-machine site license $50.00
25-machine site license $100.00
Unlimited site license $150.00
..................................................................
Latest Version on disk $ 3.00*
..................................................................
Bonus Disk Set of Music and Graphics $10.00*
(includes latest version)
..................................................................
Total Enclosed:
------------------------------------------------------------------
* Only registered users or users registering with this order
are eligible to purchase disk sets. Price includes media
and shipping charges.
==================================================================
---------------8<---------------8<-----------------8<-------------
Thank you for registering Bricklayer for Windows!
Please send US$10 for each copy of Bricklayer to be registered to:
Yevgeny Gurevich
129 Franklin Street #112
Cambridge, MA 02139-4100
You may alternatively register via CompuServe's Shareware Registration:
GO SWREG
The CompuServe SWREG id for Bricklayer is #4732