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Text File  |  1995-12-15  |  5KB  |  115 lines
  1.                           TRAINER
  2.             (Score Knowledge and Self-Judgment)
  3. --------------------------------------------------------------
  4. 1295              REGISTRATION FORM 1.9.001               0161
  5. --------------------------------------------------------------
  6.  
  7. Name:              ___________________________________________
  8.  
  9. Street:            ___________________________________________
  10.  
  11. City, State & ZIP: ___________________________________________
  12.  
  13. Registration Name: ___________________________________________
  14.                       (Please print, 35 characters maximum)
  15.  
  16. Single-Use License: (one computer or one person)*
  17.  
  18. GOOD:   Registration Key to all features: (no disk)     $14.95
  19.         Eliminates try-before-you-buy screens, includes
  20.         new version discounts and update notices.
  21.  
  22. BETTER: Insert-and-run DOS disk for XT, AT, 286,        $29.95
  23.         386, 486, and Pentium:   ( )3.5"    ( )5.25"
  24.         Includes above benefits, one free update,
  25.         and one year technical support.
  26.  
  27. BEST:   All of the above, free updates and versions,    $59.95
  28.         and technical support for five years.
  29.  
  30. Less Discount Coupon (see below) or Renewal (-$ 5.00). _______
  31.                                                               
  32. Subtotal                                               _______
  33.                                                               
  34. In Missouri, add 6.725% sales tax or tax number:       _______
  35.              TIN:______________________________
  36.  
  37. Total (payable to Nine-Patch Software in U.S. dollars) _______
  38. --------------------------------------------------------------
  39. ( )Check    ( )Money Order    ( )Cash     ( )Purchase Order
  40. ( )Visa     ( )MasterCard
  41.  
  42. Card Number___________________________________________________
  43.  
  44. Name on Card____________________________ Exp. Date____________
  45.  
  46. Signature_______________________________ Phone________________
  47. --------------------------------------------------------------
  48. Mail: Nine-Patch Software       FAX: 816-582-8589
  49.       Box 161                   CIS E-mail: 71222,3565
  50.       Maryville, MO 64468-0161  Net: 71222.3565@COMPUSERVE.COM
  51. --------------------------------------------------------------
  52. Nine-Patch:  3 levels of thinking x student, teacher, & admin.
  53. --------------------------------------------------------------
  54. * Site, School, District and Community Licenses are available.
  55.   See VENDINFO.DIZ for license details.
  56.  
  57.                           SURVEY DISCOUNT COUPON
  58. ----------------------------------------------------------------------------
  59. By completing the following survey you will be helping develop the best and
  60. lowest cost ways for making useful educational programs available.  You will
  61. also receive a discount on the registration of Trainer.
  62. ----------------------------------------------------------------------------
  63. A.  It is important to know who is using this software and         Discount
  64.     where you are using it (the user network).                       Value
  65.  
  66.     ( )Student  ( )Teacher  ( )Parent  ( )Administrator              $2.50
  67.  
  68.     ( )Home  ( )Homeschool  ( )Public School  ( )Private School
  69.  
  70.     Your School Name:___________________________________________
  71.  
  72.     Address:____________________________________________________
  73.     
  74.     City, State, ZIP:___________________________________________
  75.     
  76.     Phone:_______________ E-mail:_______________________________
  77.  
  78.     Web:________________________________________________________
  79.  
  80.     Describe your testing:______________________________________
  81.     
  82.     ____________________________________________________________
  83.     
  84.     ____________________________________________________________
  85.             (Please use back of sheet for more space.)
  86.  
  87. B:  It is important to know who is delivering educational soft-      $2.50
  88.     ware to those wanting to use it (the distribution network).
  89.     
  90.     Obtained by: ( )Download  ( )CD-ROM  ( )Floppy  Price:______
  91.  
  92.     Downloading Service Name:___________________________________
  93.  
  94.     ____________________________________________________________
  95.     (If from a Collection, Name of Collection and of Publisher.)
  96.  
  97.     From Friend:__________________ Store:_______________________
  98.  
  99.     Catalog:______________________ BBS:_________________________
  100.  
  101.     Other:______________________________________________________
  102.  
  103.     Describe how you searched and found this software:__________
  104.     
  105.     ____________________________________________________________
  106.     
  107.     ____________________________________________________________
  108.             (Please use back of sheet for more space.)
  109.                                                                    ---------
  110. C:  Total value of coupon (add all fully completed sections)        $
  111.                                                                    =========
  112.     Please enclose as part of your registration payment.
  113. ----------------------------------------------------------------------------
  114.  
  115.