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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.     | ALLFIX cross/upgrade | AUD         | 25   | n/a   | n/a   | n/a  |
  21.     |   to other versions  | NZD         | 30   | n/a   | n/a   | n/a  |
  22.     |                      |             |      |       |       |      |
  23.     | WEBUTIL              | HFL/DM      | 25   | 20    | 15    | CALL |
  24.     |                      | USD         | 30   | 25    | 20    | CALL |
  25.     +----------------------+-------------+------+-------+-------+------+
  26.  
  27.     Australia RegSite
  28.     ~~~~~~~~~~~~~~~~~
  29.  
  30.     Postal address:               Ordering information:
  31.  
  32.     Gary Laming
  33.     PO Box 98                     FAX          : 61-8-8351-8671
  34.     Torrensville Plaza            Voice        : 61-8-8234-9010
  35.     SA 5031                       BBS          : 61-8-8351-8670/71 (V.34+)
  36.     Australia
  37.  
  38.     Internet - gaz@picknowl.com.au
  39.           or - gaz@allfix.com
  40.  
  41.     FidoNet - 3:800/455
  42.  
  43.     Cheques, Postal Orders, Money Orders are welcome and are to be made
  44.     payable to Gary Laming.
  45.  
  46.     Credit Cards accepted: American Express, Visa, MasterCard.
  47.  
  48.     Additional costs:
  49.  
  50.     New Zealand customers include an additional NZD$17.00 if sending a cheque
  51.     drawn on a New Zealand bank, or NZD$7.00 if sending cash in NZD.
  52.     These are bank processing fees. Include NO ADDITIONAL FEE if sending AUD.
  53.  
  54.       
  55.       ---------------< Please send the following page only >---------------
  56.  
  57.                           ALLFIX Registration Form
  58.                           ------------------------
  59.  
  60.          Sysop Name : _________________________________________________
  61.      (case sensitive)
  62.       Postal address: _________________________________________________
  63.  
  64.                       _________________________________________________
  65.  
  66.          Voice phone: _________________________________________________
  67.  
  68.     Internet address: _________________________________________________
  69.  
  70.          System name: _________________________________________________
  71.  
  72.         System phone: _________________________________________________
  73.  
  74.          Node number: _________________________________________________
  75.  
  76.       Payment Method: [ ] Personal/Business Cheque
  77.                       [ ] Bank Cheque
  78.                       [ ] Money Order
  79.                       [ ] Credit Card
  80.                       [ ] Cash
  81.  
  82.                       Credit Card Number: ___________________________
  83.  
  84.                       Cardholder Name:    ___________________________
  85.  
  86.                       Expiry Date:        ___________________________
  87.  
  88.                       [ ] MasterCard    [ ] Visa   [ ] American Express
  89.  
  90.      Type                   Qty          Price            Total
  91.    
  92.      ALLFIX for DOS       : __________ x ______________ = ____________
  93.  
  94.      ALLFIX for OS/2      : __________ x ______________ = ____________
  95.  
  96.      ALLFIX for WildCat   : __________ x ______________ = ____________
  97.  
  98.      ALLFIX Universal     : __________ x ______________ = ____________
  99.  
  100.      ALLFIX cross/upgrade
  101.      to _________________ : __________ x ______________ = ____________
  102.      (specify platform)
  103.  
  104.      WEBUTIL (for OS/2)   : __________ x ______________ = ____________
  105.  
  106.           Additional costs:                             + ____________
  107.           (Read additional costs section to prevent unnecessary delays)
  108.  
  109.              Total amount:                                ____________
  110.  
  111.      [ ]  I understand and agree to the terms of the license as outlined in
  112.           the documentation enclosed with the package, that my registration
  113.           is for the purpose of obtaining a license to use ALLFIX! and that
  114.           this license does not grant me any rights of ownership of the
  115.           software, or any rights to the copyright.
  116.  
  117.           Date: __________________________
  118.  
  119.