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  1.   +------------------------------------------------------------------+
  2.   | Registration fees                                                |
  3.   +----------------------+-------------+-----------------------------+
  4.   | Type                 | Currency    | Number of registrations     |
  5.   |                      |             +-----------------------------+
  6.   |                      |             | 1-10 | 11-20 | 21-50 |  50+ |
  7.   +----------------------+-------------+------+-------+-------+------+
  8.   | ALLFIX for DOS       | USD         | 30   | 25    | 20    | CALL |
  9.   |                      |             |      |       |       |      |
  10.   | ALLFIX for OS/2      | USD         | 30   | 25    | 20    | CALL |
  11.   |                      |             |      |       |       |      |
  12.   | ALLFIX! for WildCat! | USD         | 30   | 25    | 20    | CALL |
  13.   |                      |             |      |       |       |      |
  14.   | ALLFIX Universal     | USD         | 35   | 30    | 25    | CALL |
  15.   |                      |             |      |       |       |      |
  16.   | Updates to other     | USD         | 15   | n/a   | n/a   | n/a  |
  17.   |    versions          |             |      |       |       |      |
  18.   +----------------------+-------------+------+-------+-------+------+
  19.  
  20.  
  21.   For Commercial Registrations and Site License please contact your
  22.   nearest authorized RegSite.  All funds quoted in US dollars.
  23.  
  24.  
  25.  Canada RegSite
  26.  ~~~~~~~~~~~~~~
  27.  
  28.     Postal address:               Ordering information:
  29.  
  30.     Bob Seaborn
  31.     PO Box 1741                   FAX          : 1-306-956-3240
  32.     Saskatoon, Sk S7K 3S1         Voice        : 1-306-343-1767
  33.  
  34.     Internet - bob@nwstar.com
  35.           or - bob@allfix.com
  36.  
  37.     FidoNet - 1:140/12  (USR 33.6 X2 V.everything)
  38.  
  39.     Personal Checks, Money Orders, or Bank Draft / Transfer's accepted
  40.  
  41.     Credit Cards accepted: American Express, Visa, MasterCard, & Discover
  42.  
  43.  
  44.  
  45.       
  46.       ---------------< Please send the following page only >---------------
  47.                           ALLFIX Registration Form
  48.                           ------------------------
  49.  
  50.      Name (case sensitive) : __________________________________________
  51.  
  52.      Street Address:  _________________________________________________
  53.  
  54.      City, Prov, Zip: _________________________________________________
  55.  
  56.      Voice Phone:  (__________)________________________________________
  57.  
  58.      System Name: _____________________________________________________
  59.  
  60.      Data Phone: ______________________________________________________
  61.  
  62.      Fidonet/email:____________________________________________________
  63.  
  64.  
  65.      Payment Method: [ ] Personal/Business Check
  66.                      [ ] Cashier's Check
  67.                      [ ] Money Order
  68.                      [ ] Credit Card
  69.                      [ ] Canadian Bank Transfer
  70.                      [ ] Cash
  71.  
  72.  
  73.      Credit Card Number: ______________________________________________
  74.  
  75.      Expiration Date (MM/YY):  -------------------
  76.  
  77.      Cardholder Name:    ______________________________________________
  78.  
  79.  
  80.      [ ] Visa   [ ] MasterCard   [ ] American Express   [ ] Discover
  81.  
  82.  
  83.      Type                   Qty          Price            Total
  84.    
  85.      ALLFIX for DOS       : __________ x ______________ = ____________
  86.  
  87.      ALLFIX for OS/2      : __________ x ______________ = ____________
  88.  
  89.      ALLFIX for WildCat   : __________ x ______________ = ____________
  90.  
  91.      ALLFIX Universal     : __________ x ______________ = ____________
  92.  
  93.      Update to __________ : __________ x ______________ = ____________
  94.        (specify platform)
  95.  
  96.  
  97.              Total amount:                                ____________
  98.  
  99.  
  100.  
  101.  
  102.      [ ]  I understand and agree to the terms of the license as outlined in
  103.           the documentation enclosed with the package, that my registration
  104.           is for the purpose of obtaining a license to use ALLFIX and that
  105.           this license does not grant me any rights of ownership of the
  106.           software, or any rights to the copyright.
  107.  
  108.           Date: __________________________
  109.  
  110.  
  111.      The following information is optional, but would be appreciated:
  112.  
  113.  
  114.      Mailer/BBS: ___________________________________________________
  115.  
  116.      OS Version: ___________________________________________________
  117.  
  118.      Hardware:   ___________________________________________________
  119.  
  120.  
  121.