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Text File  |  1996-01-01  |  5KB  |  109 lines
  1.                  FasType -- Registration and Payment Form
  2.  
  3. Name: _______________________________________________________________________
  4.  
  5. Company: ____________________________________________________________________
  6.  
  7. Addr.________________________________________________________________________
  8.  
  9. City: _______________________________         Country:_______________________
  10.  
  11. State:_______________________________       Telephone:_______________________
  12.  
  13. Zip Code:____________________________    Today's Date:_______________________
  14.  
  15. My PC is a: (model)__________________________________________________________
  16. My Operating System is:  Windows 3.1 [  ]   Windows-95 [  ]   Windows-NT [  ]
  17. I obtained my evaluation copy of FasType from: (BBS/vendor)__________________
  18.  
  19. Quantity  Registered Packages -- Description      Unit Price       Total Cost
  20. ========  ======================================  ==========       ==========
  21. ________  FasType for Windows                         $29.00       __________
  22. ________  Educational Site License                   $400.00       __________
  23. ________  Corp./Gov't Site License                   $600.00       __________
  24. ________  Right-to-Copy License( see price list)   $_____.__       __________
  25. ________  PC-FasType/VGA for MS-DOS                   $25.00       __________
  26. ________  Software -- "KeyMoves"                      $29.95       __________
  27.       (ergonomic keyboarding tutorial)    
  28. ________  A.S.P. CD-ROM Shareware Disk                $17.95       __________
  29.                                              Sub-Total Mdse:    _____________
  30.                       NJ residents, please add NJ sales tax: 6%    __________
  31.  
  32.                     Shipping/Handling: DOMESTIC --> add  $3.00     __________
  33.                       (choose one)     CANADA   --> add  $5.00     __________
  34.                                        OVERSEAS --> add $10.00     __________
  35.                                                  ORDER TOTAL:  ______________
  36.  
  37. Method of Payment: Please complete the payment portion below:
  38.   ALL CHECKS AND MONEY ORDERS MUST BE DRAWN ON U.S. BANK ACCOUNTS
  39. Payment:  [ ]Check    [ ]Money Order    [ ]Purchase Order
  40.  
  41. Call or Mail CREDIT CARD orders to Public (software) Library; they process ALL
  42. credit card orders for FasType. Call PsL at 800-2424-PSL or FAX: 713-524-6398
  43.        [ ]MASTERCARD   [ ]VISA    [ ]American Express     [ ] Discover
  44.  
  45. Credit card#: _________--_________--_________--_________  Exp. Date:____/____
  46.  
  47. Name on Card: _______________________________________________________________
  48.  
  49. Cardholder Signature: _______________________________________________________
  50. =============================================================================
  51. Trendtech Corporation:        Mail checks, money orders, and P.O.'s to:
  52. Voice:  U.S.A. (201) 694-8622                   TRENDTECH CORPORATION
  53. FAX:    U.S.A. (201) 694-2543                   FasType/WIN Registration
  54. CompuServe:   76210,771                         P.O. Box 3687
  55. America On-Line: WJLFasType                     Wayne, NJ  07474-3687  U.S.A.
  56. =============================================================================
  57. Federal ID # 22-2361270             Source: Shareware Evaluation Version 5.0
  58.  
  59.                      FasType for Windows -- Comment Form
  60.  
  61. Your comments about this software and documentation are welcome.  Please take
  62. a moment to fill out this form and mail it with your order.
  63.  
  64. Name: _______________________________________________________________________
  65.  
  66. Company: ____________________________________________________________________
  67.  
  68. Addr. 1: ____________________________________________________________________
  69.  
  70. Addr. 2: ____________________________________________________________________
  71.  
  72. City: _______________________________       Country:_________________________
  73.  
  74. State:_______________________________     Telephone:_________________________
  75.  
  76. Zip Code:____________________________  Today's Date:_________________________
  77.  
  78.  
  79. FasType Version No.:_________________  Files Dated:__________________________
  80.  
  81.  
  82. Your comments:_______________________________________________________________
  83.  
  84. _____________________________________________________________________________
  85.  
  86. _____________________________________________________________________________
  87.  
  88. _____________________________________________________________________________
  89.  
  90. _____________________________________________________________________________
  91.  
  92. _____________________________________________________________________________
  93.  
  94. _____________________________________________________________________________
  95.  
  96. _____________________________________________________________________________
  97.  
  98. _____________________________________________________________________________
  99.  
  100. _____________________________________________________________________________
  101.  
  102. =============================================================================
  103. Voice:  U.S.A. (201) 694-8622       Send to:  TRENDTECH CORPORATION
  104. FAX:    U.S.A. (201) 694-2543                 FasType Comments
  105. CompuServe:   76210,771                       P.O. Box 3687
  106. America On-Line: WJLFasType                   Wayne, NJ   07474-3687   U.S.A.
  107. =============================================================================
  108. Federal ID # 22-2361270              Source: Shareware Evaluation Version 5.0
  109.