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Text File  |  1992-08-22  |  3KB  |  85 lines
  1.  
  2.  
  3.  
  4.                       Ezycom V1.01 Registration Form
  5.  
  6.                       Shareware/Non-Commercial/Commercial
  7.  
  8.  
  9.           This registration form is for VISA/MASTERCARD orders
  10.           only.  It is advised that Internationial Orders be placed
  11.           using this method.  Please complete in full to avoid
  12.           delays in receiving the registration key.
  13.  
  14.           Note: One Registration Per Form.
  15.  
  16.           The registration forms can be sent to
  17.  
  18.           Australian Patrol Services
  19.           PO BOX 167
  20.           Cheltenham VIC 3192
  21.           Australia
  22.  
  23.           or via a 24 Hour BBS        61-3-585-0495 (2400/V32)
  24.                                       Fido 3:636/200
  25.  
  26.           or via a 24 Hour FAX        61-3-585-1582
  27.  
  28.           ___________________________________________________________
  29.           [Sysop Name]
  30.           (This MUST match the sysop name that appears in the CONFIG)
  31.  
  32.           ___________________________________________________________
  33.           [Your Name/Business Name]
  34.  
  35.           ___________________________________________________________
  36.  
  37.           ___________________________________________________________
  38.  
  39.           ___________________________________________________________
  40.           [Address]
  41.  
  42.           ___________________________________________________________
  43.           [BBS Name]
  44.  
  45.           ___________________________________________________________
  46.           [BBS Phone Number]
  47.  
  48.           ___________________________________________________________
  49.           [Voice Phone Number]
  50.  
  51.           ___________________________________________________________
  52.           [Network Names and Addresses]  Eg. Fido 3:636/213
  53.  
  54.           ___________________________________________________________
  55.           [Maximum Baud Rate(s)] [Hours of Operation] Eg 2400 24Hrs
  56.  
  57.           __________________________________________________________
  58.           [Registration Type] (Shareware/Non-Commercial/Commercial)
  59.  
  60.           [ ] Ezycom                   (Shareware)       $60AUD
  61.           [ ] Ezycom, EzyEdit          (Shareware)       $85AUD
  62.           [ ] Ezycom                   (Non-Commercial) $150AUD
  63.           [ ] Ezycom, EzyEdit          (Non-Commercial) $175AUD
  64.           [ ] Ezycom, EzyEdit, Manual  (Commercial)     $250AUD
  65.           (Cross Appropriate Box)
  66.  
  67.           Key
  68.           Ezycom  = Ezycom Package
  69.           EzyEdit = Ezycom Full Screen Editor
  70.           Manual  = Printed/Bound Manual for Ezycom
  71.  
  72.           ___________________________________________________________
  73.           [Card Holder's Name]
  74.  
  75.           Please debit my [ ]VISA [ ]MASTERCARD for $AUD____
  76.  
  77.            __ __ __ __   __ __ __ __   __ __ __ __   __ __ __ __
  78.           |  |  |  |  | |  |  |  |  | |  |  |  |  | |  |  |  |  |
  79.           |__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__|
  80.           Card Number
  81.  
  82.           __________________________            _____/_____
  83.           Signature                             Expirey Date
  84.  
  85.