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Text File  |  1993-08-04  |  4KB  |  98 lines

  1.                      THE BLUE WAVE OFFLINE MAIL SYSTEM
  2.                              REGISTRATION FORM
  3.  
  4. *** If you are registering by Credit Card, you may FAX this form to us 24
  5.     hours per day, 7 days a week at 313-743-5910.  Online registration
  6.     is accepted on the BBS at 313-743-8464 by credit card.
  7. *** Checks and money orders must be made out to "Cutting Edge Computing"
  8. *** Mail registration form to:  Cutting Edge Computing
  9.                                 PO Box 90476
  10.                                 Burton, Michigan  48509  USA
  11.  
  12. Your Name               :__________________________________________________
  13.  
  14. Your Name as it appears
  15. on the BBS's you call   :__________________________________________________
  16.  
  17.  
  18. Shipping address        :__________________________________________________
  19. Include ZIP or
  20. Postal Code!            :__________________________________________________
  21.  
  22.                         :_______________________ Phone: ___________________
  23.  
  24. I am registering:    [__]  The Blue Wave Offline Mail Reader ($25 US)
  25.                      [__]  The Blue Wave Offline Mail Door   ($20 US)--|
  26.                      [__]  Door and Reader Together          ($35 US)--|
  27.                      v---------v--------v--------v-------v---------v---<
  28.                      If you are registering The Blue Wave Mail Door, you
  29.                      must complete the following information!
  30.  
  31.                      My BBS Phone Number : _________________________________
  32.  
  33.                      Name of MAIL PACKETS: |___|___|___|___|___|___|___|___|
  34.                      (Pg 19 in BWMAIL.DOC)
  35.                      Network Address     : _________________________________
  36.  
  37.                      Name of BBS Software: _________________________________
  38.  
  39. Method of Payment:   [__] Cash        (Send US Funds by REGISTERED MAIL ONLY)
  40.                      [__] Check       (Must be drawn on a US Bank)
  41.                      [__] Money Order (In United States Funds only)
  42.                      [__] Visa      [__] MasterCard     [__] American Express
  43.  
  44.                      Card Holder Name  : ____________________________________
  45.  
  46.                      Credit Card Number: ____________________________________
  47.  
  48.                      Exp. Date : ______  Signature: _________________________
  49.  
  50. Total of Order   :   $____________  Reader and/or Door ($20, $25, $35)
  51.  
  52.                      $____________  FAX back registrations add $1.00
  53.                                     FAX Phone Number: _______________________
  54.                      $____________  Current Version(s) on Diskette add $5.00
  55.                                     [__] 3.5" Disk           [__] 5.25" Disk
  56.  
  57.                      $____________  Total enclosed or authorized for Credit
  58.                                     Card billing
  59.  
  60.  
  61. Cutting Edge Computing is always happy to hear your comments and suggestions
  62. for improvement.  If you have any suggestions, please place them on this
  63. form and enclose it with your registration.  All comment forms will be
  64. reviewed and placed into the suggestion file for inclusion in later
  65. versions of our software.
  66.  
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