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Text File  |  1992-10-20  |  2KB  |  73 lines
  1.  
  2.  
  3.                      KITYTRAX Version 0.01b Registration Form
  4.                      -------- ------- ------ ------------ ----
  5.  
  6.  
  7.       Please check the appropriate item(s) below, and fill in the necessary
  8.       information.  Send your order form and payment to: 
  9.    
  10.                              CyberDyne Systems
  11.                              815 Jackson Street
  12.                            Oshkosh, Wisconsin 54901
  13.    
  14.  
  15.  
  16.   (  ) I would like to register _____ copies of KITYTRAX Version 0.01b 
  17.        for $15 each, to receive the next version of WIPE-OUT should it
  18.        be made available.  
  19.  
  20.  
  21.  
  22.        For our own records please indicate where you acquired
  23.        KITYTRAX Version 0.01b from:       
  24.  
  25.          __________________________________________________________
  26.                     name, BBS, or other source
  27.  
  28.          __________________________________________________________
  29.                            street address/PO box        
  30.  
  31.          _____________________________  _____________  ____________
  32.                     city                   State         ZIP code
  33.                                                      
  34.  
  35.  
  36.  
  37.  -----------------------------------------------------------------------------
  38.  
  39.   1)  Subtotal for registrations (# of copies X $15)             $________
  40.                                                                +
  41.  
  42.   2)  Site license fee for 1 - 20 units                          $________
  43.                                                                + 
  44.   3)  For copies of 21+ units add $5.00 X ___ units              $________
  45.  
  46.               Add $3.50 p/h for each 360k disk
  47.               Add $4.50 p/h for each 720k disk
  48.               Add $7.50 p/h for each 1.4 or 1.2 meg disk         $________
  49.  
  50.                                                   (sub-total)    $________
  51.       
  52.                                                Amount enclosed   $________
  53.  
  54.  
  55.                  
  56.  
  57.   My name and address is:
  58.  
  59.            __________________________________________________________
  60.                                     name 
  61.  
  62.            __________________________________________________________
  63.                              street address/PO box        
  64.  
  65.            _____________________________  _____________  ____________
  66.                       city                   State         ZIP code
  67.  
  68.            _______________________________________
  69.                       Country/Province
  70.  
  71.  
  72.  
  73.