APP FRM --------------------------------------------------------------------------------| REGISTRATION FORM - EZ-FORMS ver A || || NAME MAIL TO: ENERCO ASSOCIATES || -------------------------- 403 NASA ROAD 1 EAST || ADDRESS SUITE 377 || ----------------------- WEBSTER, TX 77598 || || ----------------------- (713) 482-0210 || || ----------------------- || || REGISTRATION NUMBER (SEE OPENING EZ-FORMS SCREEN) || --------------------- || UPDATED REGISTRATION NUMBER (IF SSAN OR FIN WAS USED, || ------------------- SEE DOC FOR DETAILS) ||______________________________________________________________________________|| || REGISTRATION DESIRED: || || (1) FULL REGISTRATION - $40.00 || (COMMISSION, BOUND USER MANUAL, NEWSLETTER,)------ || (1 YR FREE UPDATES, AND PHONE SUPPORT) || (2) LIMITED REGISTRATION - $30.00 || (BOUND USER'S MANUAL, NEWSLETTER) ------ || (1 FREE UPDATE, AND PHONE SUPPORT) || (3) NO REGISTRATION - $10.00 || (LATEST VERSION OF EZ-FORMS WITH DOC ON DISK)----- || (NO PHONE SUPPORT) || POSTAGE AND HANDLING: ADD $3.00 PER ORDER $3.00 || ------ || TOTAL || METHOD OF PAYMENT: CHECK| | CHARGE CARD| | CASHIER'S CHECK| | MONEY ORD| | || || VISA MASTERCHARGE CARD # EXP DATE || --- --- --------------------- ------- || TEXAS RESIDENTS ADD 5.125% SIGNATURE ____________________________________ || || TERMS: ALL MAIL AND PHONE ORDERS MUST BE PREPAID. CHECKS TAKE AT LEAST || 10 BUSINESS DAYS TO CLEAR. ALL ORDERS SHIPPED AS SOON AS PAYMENT || IS RECEIVED (CHECKS MUST CLEAR BANK). ||______________________________________________________________________________|| || PERSONAL DATA || || WILL YOU ANSWER SOME QUESTIONS FOR US? || || 1. WHAT TYPE OF COMPUTER ARE YOU USING EZ-FORMS ON? || -------------------- || 2. HOW MUCH MEMORY DOES IT HAVE? K BYTES || -------- || 3. WHAT TYPE OF PRINTER IS ATTACHED? || --------------- || 4. HOW DID YOU FIND OUT ABOUT EZ-FORMS? || -------------------------------- || || --------------------------------------------------------------------- || 5. HOW CAN WE IMPROVE EZ-FORMS? || ----------------------------------------- || || --------------------------------------------------------------------- || || --------------------------------------------------------------------- || THANK YOU |-------------------------------------------------------------------------------- -------------------------------------------------------------------------------
