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Text File  |  1992-03-15  |  2KB  |  48 lines
  1.                               REGISTRATION FORM
  2. ------------------------------------------------------------------------------
  3. Amisys Incorporated                                        Phone:510-671-2103
  4. 1390 Willow Pass Road, Suite 930                             Fax:510-671-2104
  5. Concord, CA  94520                                    CompuServe:70441 , 3250
  6. ------------------------------------------------------------------------------
  7.  
  8.                            REGISTRATION GUIDELINE
  9. One registration per computer or user.
  10.                                                   Price
  11. ITEM                         QTY      Price    Extended
  12. __________________________   ___      _____   ___________
  13. Amisys Btrieve Utility for Windows V1.3
  14.  
  15.    Registration              ___    $ 25.00  $_______.___
  16.      free minor upgrades
  17.  
  18.    Site License              ___    $ 99.00  $_______.___
  19.  
  20.    Complete Source Code      ___    $ 70.00  $_______.___
  21.      in Turbo Pascal for Windows
  22.  
  23.                                   Sub Total: $_______.___
  24.  
  25. California Residents add local sales tax   : $_______.___
  26.  
  27.                                       Total: $_______.___
  28.  
  29. Please specify diskette size: __ 5 1/4"  __ 3 1/2"
  30.  
  31. Name   :______________________________________________________________________
  32.  
  33. Address:______________________________________________________________________
  34.  
  35.         ______________________________________________________________________
  36.  
  37. City   :________________________________________State:_____________Zip:_______
  38.  
  39. Phone  :(______)______-___________ (Optional) Country:________________________
  40.  
  41. Payment method:   __ Check Enclosed
  42.  
  43. Where did you get your copy of the Amisys Btrieve Utility for Windows?
  44.  
  45. Features you would like to see incorporated into future versions of the
  46. Amisys Btrieve Utility for Windows:
  47. 
  48.