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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.   | ALLFIX cross/upgrade | USD         | 15   | n/a   | n/a   | n/a  |
  17.   |   to other versions  |             |      |       |       |      |
  18.   |                      |             |      |       |       |      |
  19.   | WEBUTIL              | USD         | 15   | 10    | 5     | CALL |
  20.   +----------------------+-------------+------+-------+-------+------+
  21.  
  22.  
  23.   For Commercial Registrations and Site License please contact your
  24.   nearest authorized RegSite.  All funds quoted in US dollars.
  25.  
  26.  
  27.  America and Canada ALLFIX RegSite
  28.  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  29.  
  30.     Postal address:               Ordering information:
  31.  
  32.     Bob Seaborn
  33.     PO Box 1741                   FAX          : 1-306-956-3240
  34.     Saskatoon, Sk S7K 3S1         Voice        : 1-306-343-1767
  35.  
  36.     Internet - bob@nwstar.com
  37.           or - bob@allfix.com
  38.  
  39.     FidoNet - 1:140/12  (USR 33.6 X2 V.everything)
  40.  
  41.     Personal Checks, Money Orders, or Bank Draft / Transfer's accepted
  42.  
  43.     Credit Cards accepted: Visa & MasterCard
  44.  
  45.  
  46.  
  47.       
  48.       ---------------< Please send the following page only >---------------
  49.                           ALLFIX Registration Form
  50.                           ------------------------
  51.  
  52.      Name (case sensitive) : __________________________________________
  53.  
  54.      Street Address:  _________________________________________________
  55.  
  56.      City, Prov, Zip: _________________________________________________
  57.  
  58.      Voice Phone:  (__________)________________________________________
  59.  
  60.      System Name: _____________________________________________________
  61.  
  62.      Data Phone: ______________________________________________________
  63.  
  64.      Fidonet/email:____________________________________________________
  65.  
  66.  
  67.      Payment Method: [ ] Personal/Business Check
  68.                      [ ] Cashier's Check
  69.                      [ ] Money Order
  70.                      [ ] Credit Card
  71.                      [ ] Canadian Bank Transfer
  72.                      [ ] Cash
  73.  
  74.  
  75.      Credit Card Number: ______________________________________________
  76.  
  77.      Expiration Date (MM/YY):  -------------------
  78.  
  79.      Cardholder Name:    ______________________________________________
  80.  
  81.  
  82.      [ ] Visa   [ ] MasterCard
  83.  
  84.  
  85.      Type                   Qty          Price            Total
  86.    
  87.      ALLFIX for DOS       : __________ x ______________ = ____________
  88.  
  89.      ALLFIX for OS/2      : __________ x ______________ = ____________
  90.  
  91.      ALLFIX for WildCat   : __________ x ______________ = ____________
  92.  
  93.      ALLFIX Universal     : __________ x ______________ = ____________
  94.  
  95.      ALLFIX cross/upgrade
  96.      to _________________ : __________ x ______________ = ____________
  97.      (specify platform)
  98.  
  99.      WEBUTIL (for OS/2)   : __________ x ______________ = ____________
  100.  
  101.  
  102.              Total amount:                                ____________
  103.  
  104.  
  105.  
  106.  
  107.      [ ]  I understand and agree to the terms of the license as outlined in
  108.           the documentation enclosed with the package, that my registration
  109.           is for the purpose of obtaining a license to use ALLFIX and that
  110.           this license does not grant me any rights of ownership of the
  111.           software, or any rights to the copyright.
  112.  
  113.           Date: __________________________
  114.  
  115.  
  116.      The following information is optional, but would be appreciated:
  117.  
  118.  
  119.      Mailer/BBS: ___________________________________________________
  120.  
  121.      OS Version: ___________________________________________________
  122.  
  123.      Hardware:   ___________________________________________________
  124.  
  125.  
  126.