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Text File  |  1991-06-07  |  4KB  |  100 lines
  1.  
  2.  
  3.                                  AvaiList 1.70
  4.  
  5.                                Registration Form
  6.  
  7.                    Copyright (c) 1988-1991 Andrew D. Farmer.
  8.                               All rights reserved.
  9.  
  10.           ------------------------------------------------------------
  11.  
  12.           This order form is for registering AvaiList for a single
  13.           system.  If you wish to register more than one copy, simply
  14.           fill out multiple copies of this form.
  15.  
  16.                          AvaiList Registration Details
  17.                      /-----------------------------------\
  18.                      |  US Dollars  |  Canadian Dollars  |
  19.                      |--------------+--------------------|
  20.                      |    $15.00    |       $17.00       |
  21.                      \-----------------------------------/
  22.  
  23.           If you reside outside of Canada, payment must be made in
  24.           United States funds.
  25.  
  26.           Canadian residents must pay in Canadian funds.
  27.  
  28.           Please make all cheques or money orders payable to:
  29.  
  30.                           "Andrew D. Farmer"
  31.  
  32.           IF YOU ARE PAYING BY CHEQUE, IT MUST BE DRAWN ON A US OR
  33.           CANADIAN BANK.
  34.  
  35.           To register AvaiList, simply complete and print out the 
  36.           following form and mail it, along with your payment, to:
  37.  
  38.                            Andrew D. Farmer
  39.                            P.O.Box 11087, Station H
  40.                            Nepean, Ontario
  41.                            K2H 7T8  Canada
  42.  
  43.           Your registration "Key" will be delivered electronically as
  44.           soon as your payment has been received and processed.
  45.   
  46.           ============================================================
  47.           AvaiList 1.70                                         DIRECT
  48.           Registration Form                              Single System
  49.           ------------------------------------------------------------
  50.  
  51.           The following item must EXACTLY match the information you
  52.           have specified in your AvaiList configuration for SYSOPNAME.
  53.  
  54.  
  55.           Sysop Name:           ______________________________________
  56.  
  57.  
  58.           ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  59.  
  60.           The following information is nessesary for order processing.
  61.  
  62.  
  63.           Your System Name:     ______________________________________
  64.  
  65.  
  66.           System Phone Number:  ______________________________________
  67.  
  68.  
  69.           Primary Network Address (if applicable),
  70.           in the form Zone:Net/Node.Point@Domain
  71.           
  72.                                 ______________________________________
  73.  
  74.  
  75.           Your name and complete postal address:
  76.  
  77.                                 ______________________________________
  78.  
  79.                                 ______________________________________
  80.  
  81.                                 ______________________________________
  82.  
  83.                                 ______________________________________
  84.  
  85.  
  86.           ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  87.  
  88.           Additional information or comments:
  89.  
  90.                                 ______________________________________
  91.  
  92.                                 ______________________________________
  93.  
  94.                                 ______________________________________
  95.  
  96.                                 ______________________________________
  97.  
  98.  
  99.      =====================================================================
  100.