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REGISTER.CAN
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1995-06-18
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5KB
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134 lines
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IceSoft Utilities Canadian Registration Form
------------------------------------------------------------------------------
The information required for the registration key and where the key will
be sent to. (Note : All Canadian Registrations to be in CDN Funds) :
BBS Information:
----------------
Sysop Name : [__________________________________________________]
BBS Name : [__________________________________________________]
BBS Software: [__________________________________________________]
Computer : [__________________________________________________]
BBS Phone : (_____)_____-________
Address Details:
----------------
Real Name : [__________________________________________________]
Address : [__________________________________________________]
City : [__________________________________________________]
Province : [____________________] Postal Code : [___-___]
Voice Phone : (_____)_____-________
Individual Packages Price Amount
---------------------------------------------------------------------
IceBank - Deluxe TimeBank System $15 Cdn [ ]
IceChat - Deluxe SplitScreen Chatter $15 Cdn [ ]
IceEdit - Deluxe FullScreen Msg Editor $15 Cdn [ ]
IceNote - Note To All Users Door $10 Cdn [ ]
IceUser - RemoteAccess Online User Editor $10 Cdn [ ]
------
If you have selected more than one ______
package, recieve a $5 discount from
the *total* cost. (Only 'till Dec 30/95) -$5 Cdn ______
Shipping Costs
---------------------------------------------------------------------
Send Key via Postage (Disk 3 1/2" Only) $5 Cdn = [ ]
Send Key via Crash Netmail $2 Cdn = [ ]
I will pick up my key $0 Cdn = [ ]
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TOTAL COST: ______
If you want your key by "polling" - Fidonet Node number Required
----------------------------------------------------------------
Node number : [_____] : [_____] / [_____] . [_____]
Session pwd : [________]
Please Check One : [_] I will poll for my key(s) from Ice Technologies BBS
[_] I would like my key(s) to be crashed to me
If you want your key as user of Ice Technologies BBS
----------------------------------------------------
Account : [___________________________________]
Password : [_______________]
How would you like to pay for the chosen Ice Utilities
------------------------------------------------------
[ ] Money Order (Payable to - Jeremy Landvoigt)
[ ] Direct Bank Deposit
- If you wish to do a direct bank deposit, please go to
the nearest "Toronto-Dominion" Bank, and deposit your
registration funds to:
Branch : 3098
Account: 1695
Please forward a copy of your registration form VIA
NETMAIL the day PREVIOUS to the deposit, so that I will
be able to verify that the funds have arrived, and are
from you.
Time & Date of Deposit: ______________________________
[ ] Cheque - Payable to - Jeremy Landvoigt. You MUST refer to
"Registration" in documentation (ICEEDIT.DOC)
-[Official Use Only]----------------------------------
Cheque No. : __________________ N.S.F. [_] Y
Date Of Deposit : __________________ [_] N
______________________________________________________
Comments/Bug Reports : _______________________________________________
______________________________________________________________________
______________________________________________________________________
* Unsigned agreements will NOT be processed.
Upon receipt of the registration key(s), I hereby promise that I will
be the only one using this key(s). I will not give it out to anybody,
no matter how much they beg and cry, it is for my use only.
I understand that if I give this key out, or it is removed from my
possession, I am in violation of this agreement. I also understand
that upon violation of this agreement, legal action may be taken
against myself.
______________________________ ___/___/_____
(Your signature, in ink) (date)
Send your registration to : IceSoft Registration
c/o Jeremy Landvoigt
100 Burling Place
Newmarket, Ontario
Canada L3Y 5W4