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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       | AUD         | 50   | 40    | 30    | CALL |
  9.     |                      | NZD         | 55   | 45    | 35    | CALL |
  10.     |                      |             |      |       |       |      |
  11.     | ALLFIX for OS/2      | AUD         | 50   | 40    | 30    | CALL |
  12.     |                      | NZD         | 55   | 45    | 35    | CALL |
  13.     |                      |             |      |       |       |      |
  14.     | ALLFIX! for WildCat! | AUD         | 50   | 40    | 30    | CALL |
  15.     |                      | NZD         | 55   | 45    | 35    | CALL |
  16.     |                      |             |      |       |       |      |
  17.     | ALLFIX Universal     | AUD         | 55   | 50    | 40    | CALL |
  18.     |                      | NZD         | 65   | 55    | 45    | CALL |
  19.     |                      |             |      |       |       |      |
  20.     | Updates to other     | AUD         | 25   | n/a   | n/a   | n/a  |
  21.     |    versions          | NZD         | 30   | n/a   | n/a   | n/a  |
  22.     +----------------------+-------------+------+-------+-------+------+
  23.  
  24.     Australia RegSite
  25.     ~~~~~~~~~~~~~~~~~
  26.  
  27.     Postal address:               Ordering information:
  28.  
  29.     Gary Laming
  30.     PO Box 98                     FAX          : 61-8-8351-8671
  31.     Torrensville Plaza            Voice        : 61-8-8234-9010
  32.     SA 5031                       BBS          : 61-8-8351-8670/71 (V.34+)
  33.     Australia
  34.  
  35.     Internet - gaz@picknowl.com.au
  36.           or - gaz@allfix.com
  37.  
  38.     FidoNet - 3:800/455
  39.  
  40.     Cheques, Postal Orders, Money Orders are welcome and are to be made
  41.     payable to Gary Laming.
  42.  
  43.     Credit Cards accepted: American Express, Visa, MasterCard.
  44.  
  45.     Additional costs:
  46.  
  47.     New Zealand customers include an additional NZD$17.00 if sending a cheque
  48.     drawn on a New Zealand bank, or NZD$7.00 if sending cash in NZD.
  49.     These are bank processing fees. Include NO ADDITIONAL FEE if sending AUD.
  50.  
  51.       
  52.       ---------------< Please send the following page only >---------------
  53.  
  54.                           ALLFIX Registration Form
  55.                           ------------------------
  56.  
  57.          Sysop Name : _________________________________________________
  58.      (case sensitive)
  59.       Postal address: _________________________________________________
  60.  
  61.                       _________________________________________________
  62.  
  63.          Voice phone: _________________________________________________
  64.  
  65.     Internet address: _________________________________________________
  66.  
  67.          System name: _________________________________________________
  68.  
  69.         System phone: _________________________________________________
  70.  
  71.          Node number: _________________________________________________
  72.  
  73.       Payment Method: [ ] Personal/Business Cheque
  74.                       [ ] Bank Cheque
  75.                       [ ] Money Order
  76.                       [ ] Credit Card
  77.                       [ ] Cash
  78.  
  79.                       Credit Card Number: ___________________________
  80.  
  81.                       Cardholder Name:    ___________________________
  82.  
  83.                       Expiry Date:        ___________________________
  84.  
  85.                       [ ] MasterCard    [ ] Visa   [ ] American Express
  86.  
  87.      Type                   Qty          Price            Total
  88.    
  89.      ALLFIX for DOS       : __________ x ______________ = ____________
  90.  
  91.      ALLFIX for OS/2      : __________ x ______________ = ____________
  92.  
  93.      ALLFIX for WildCat   : __________ x ______________ = ____________
  94.  
  95.      ALLFIX Universal     : __________ x ______________ = ____________
  96.  
  97.      Update to __________ : __________ x ______________ = ____________
  98.        (specify platform)
  99.  
  100.           Additional costs:                             + ____________
  101.           (Read additional costs section to prevent unnecessary delays)
  102.  
  103.              Total amount:                                ____________
  104.  
  105.      [ ]  I understand and agree to the terms of the license as outlined in
  106.           the documentation enclosed with the package, that my registration
  107.           is for the purpose of obtaining a license to use ALLFIX! and that
  108.           this license does not grant me any rights of ownership of the
  109.           software, or any rights to the copyright.
  110.  
  111.           Date: __________________________
  112.  
  113.