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REGISTER.USA
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Text File
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1995-06-18
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5KB
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116 lines
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IceSoft Utilities American Registration Form
------------------------------------------------------------------------------
The information required for the registration key and where the key will
be sent to. (Note : All World Registrations to be in American Funds) :
BBS Information:
----------------
Sysop Name : [__________________________________________________]
BBS Name : [__________________________________________________]
BBS Software: [__________________________________________________]
Computer : [__________________________________________________]
BBS Phone : (_____)_____-________
Address Details:
----------------
Real Name : [__________________________________________________]
Address : [__________________________________________________]
City : [__________________________________________________]
State : [____________________] Zip Code : [_______-_______]
Voice Phone : (_____)_____-________
Individual Packages Price Amount
---------------------------------------------------------------------
IceBank - Deluxe TimeBank System $15 Usd [ ]
IceChat - Deluxe SplitScreen Chatter $15 Usd [ ]
IceEdit - Deluxe FullScreen Msg Editor $15 Usd [ ]
IceNote - Note To All Users Door $10 Usd [ ]
IceUser - RemoteAccess Online User Editor $10 Usd [ ]
------
If you have selected more than one ______
package, recieve a $5 discount from
the *total* cost. (Only 'till Dec 30/95) -$5 Usd ______
Shipping Costs
---------------------------------------------------------------------
Send Key via Postage (Disk 3 1/2" Only) $5 Usd = [ ]
Send Key via Crash Netmail $2 Usd = [ ]
I will pick up my key $0 Usd = [ ]
------
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 from Ice Technologies BBS
[_] I would like my key 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 Ice Utilities
-------------------------------------------
[ ] 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
______________________________________________________
[ ] Money Order (Payable to - Jeremy Landvoigt)
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