home *** CD-ROM | disk | FTP | other *** search
/ PC World Komputer 1995 November / PCWK1195.iso / inne / dos / grafika / crumb20s.exe / REGISTER.FRM < prev    next >
Encoding:
Text File  |  1994-11-15  |  2.6 KB  |  58 lines
  1.  
  2.                       CRUMBLER & PMAKER ORDER FORM
  3.                      ==============================
  4.  
  5.  File and send to:                         or e-mail to:
  6.  
  7.    Carlo Moretti                             moretti@cobra.csr.unibo.it
  8.    v. R.Medri 2050 Gattolino                 moretti@zeus.csr.unibo.it
  9.    CAP 47020  Cesena (FO)
  10.            ITALY
  11.  
  12.  
  13.         Name___________________________Surname___________________________
  14.       or
  15.         Company__________________________________________________________
  16.  
  17.         Mail_Address_____________________________________________________
  18.         
  19.         _________________________________________________________________
  20.         
  21.         E-mail_address___________________________________________________
  22.  
  23.  
  24.         System_configuration (Mark with "[X]"):
  25.           
  26.                 [_] 286         [_] 386         [_] 486
  27.                 [_] 286/287     [_] 386/387     [_] Pentium
  28.                 [_] I don't know                [_] Other: ______________
  29.                 [_] 3.5" drive, 1.44Mb          [_] 3.5" drive, 720Kb
  30.  
  31.         Licences_wanted (Mark your choices "[X]" and fill the blanx "___"):
  32.  
  33.         [_]     Single private licence for CRUMBLER      25 US$     ____ US$
  34.         [_]     Single commercial licence for CRUMBLER  200 US$     ____ US$
  35.         [_]     Multiple comm. licence for CRUMBLER     120 x ___ = ____ US$ *
  36.         [_]     Single private licence for PMAKER        15 US$     ____ US$
  37.         [_]     Single commercial licence for PMAKER     30 US$     ____ US$
  38.         [_]     Multiple comm. licence for PMAKER        20 x ___ = ____ US$ *
  39.         [_]     PMAKER sources (Ansi C)                  15 US$     ____ US$
  40.         [_]     TARGA I/O library (Ansi C)                5 US$     ____ US$
  41.         Handling and shipping charge:                                  7 US$
  42.                                                                   ----------
  43.                                                            Sum:   __________
  44.  
  45.  (*) For multiple licence you have to buy at least one commercial licence!!!
  46.  
  47.         Payment (mark one):     [_]  Bank credit transfer
  48.                                 [_]  Check (enclosed)
  49.                                 [_]  Cash (enclosed)
  50.  
  51.         Mark [_] if interested in upgrades (handling and shipping charge only)
  52.  
  53.         Comments/suggests________________________________________________
  54.         _________________________________________________________________
  55.         _________________________________________________________________
  56.         _________________________________________________________________
  57.  
  58.