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Text File  |  1997-07-29  |  6KB  |  161 lines

  1.  
  2.           IF YOU LIVE IN AFRICA, PLEASE USE THIS REGISTRATION FORM
  3.  
  4.       Name: __________________________________________________________     <1>
  5.  
  6.   BBS Name: __________________________________________________________     <1>
  7.  
  8.    Address: __________________________________________________________
  9.  
  10.             __________________________________________________________
  11.  
  12.   Software: _______________________________  BBS Hours: ______________
  13.  
  14.   If registering TransX or InterGate then please include your domain
  15.   name here: _________________________________________________________     <1>
  16.  
  17.            CHECK ALL THE FOLLOWING PROGRAMS YOU ARE REGISTERING
  18.  
  19.   OLMS           Offline mail system                     [ ] R 105.00
  20.   OLMS/Pro3      OLMS/Professional -   3 node licence    [ ] R 150.00
  21.   OLMS/Pro10     OLMS/Professional -  10 node licence    [ ] R 210.00
  22.   OLMS/Pro250    OLMS/Professional - 250 node licence    [ ] R 345.00
  23.  
  24.   TransX/SW      Transx/Shareware  -   2 connections     [ ] R 125.00
  25.  
  26.   Nodeman/3      NodeManager       -   3 node version    [ ] R 105.00
  27.   Nodeman/10     NodeManager       -  10 node version    [ ] R 150.00
  28.   Nodeman/250    NodeManager       - 250 node version    [ ] R 250.00
  29.  
  30.   InterGate      UUCP Internet gateway package           [ ] R 125.00
  31.                                 
  32.                                      Total price of packages: R ______     
  33.                                             Upgrade discount: - ______     <2>
  34.                                    
  35.                                          Cash             [ ]
  36.                                          Cheque           [ ]              <3>
  37.                                          Money Order      [ ]              <3>
  38.                                          Credit Card      [ ] +  10.00%
  39.                                   
  40.                                           Total registration: R ______     
  41.  
  42.     Send my code by:      [ ] Fidonet @ ______________________________
  43.                           [ ] Mail
  44.                           [ ] Internet @ _____________________________
  45.  
  46.         By completing this registration form, you have agreed to the
  47.         conditions of  the license agreements for each program,  and
  48.         understand that registration of said programs does not grant
  49.         you rights of the software nor the copyrights.
  50.  
  51.     [ ] I am registering by Credit Card.  I have filled in this form
  52.         completely and correctly. I understand that it takes up to a
  53.         week after receiving my form, for my registration code to be
  54.         sent.    Credit card orders are to be billed in SA rand.
  55.         I am sending  this  registration  form along with the credit
  56.         card information to signify my  acceptance and as an author-
  57.         ization of payment to:  "FastLight Data Distribution cc" who will
  58.         process registrations for "Multiboard Communications"
  59.  
  60.         MBCC Registrations
  61.         c/o Philip Galt
  62.         PO Box 7217,
  63.         Westgate,
  64.         1734
  65.  
  66.         FidoNet  : 5:7107/24
  67.         Internet : pgalt@fast.co.za
  68.                    mbcc@medlink.bbs.co.za
  69.         FTP      : ftp.fast.co.za/pub/shareware/mbcc
  70.         WWW      : http://www.fast.co.za/shareware
  71.  
  72.         The following information will be needed for processing:
  73.  
  74.              Username: _________________________________________
  75.  
  76.             Cardowner: _________________________________________
  77.                        (EXACTLY AS THE NAME APPEARS ON THE CARD)
  78.  
  79.              Cardtype: [  ]  Visa  [  ] Mastercard
  80.  
  81.            Cardnumber: ______ - ______ - ______ - ______
  82.  
  83.            Expiration: ______ / ______ (MM/YY)
  84.  
  85.  
  86.             Other relevant information, suggestions or comments:
  87.  
  88.         ____________________________________________________________
  89.  
  90.         ____________________________________________________________
  91.  
  92.         ____________________________________________________________
  93.  
  94.         ____________________________________________________________
  95.  
  96.         ____________________________________________________________
  97.  
  98.         ____________________________________________________________
  99.  
  100.         ____________________________________________________________
  101.  
  102.         ____________________________________________________________
  103.  
  104.         ____________________________________________________________
  105.  
  106.         ____________________________________________________________
  107.  
  108.         ____________________________________________________________
  109.  
  110.         ____________________________________________________________
  111.  
  112.         ____________________________________________________________
  113.  
  114.         ____________________________________________________________
  115.  
  116.         ____________________________________________________________
  117.  
  118.         ____________________________________________________________
  119.  
  120.         ____________________________________________________________
  121.  
  122.         ____________________________________________________________
  123.  
  124.         ____________________________________________________________
  125.  
  126.   *********** CUT HERE ********* CUT HERE ********* CUT HERE ************
  127.  
  128.     Important notes:
  129.  
  130.        <1>  The  names here must be "EXACTLY" as they appear in  your
  131.             configuration setups,  including capital letters,  spaces
  132.             and punctuation.
  133.  
  134.        <2>  The upgrade discount only applies to those users who have
  135.             registered OLMS/Shareware and are upgrading to one of the
  136.             OLMS/Professional packages (3, 10 or 250 node).   If this
  137.             applies to you, can apply for a R90.00 discount here. For
  138.             this discount to be accepted,  you must place your serial
  139.             number from OLMS/Shareware in the comments section.
  140.  
  141.        <3>  If registering by a cheque or money order, please make it
  142.             payable to "FastLight Data Distribution CC"
  143.  
  144.           PLEASE FORWARD THIS REGISTRATION FORM AND YOUR FULL FEE TO:
  145.  
  146.              MBCC Registrations
  147.              c/o Philip Galt
  148.              PO Box 7217,
  149.              Westgate,
  150.              1734
  151.  
  152.              Email : pgalt@fast.co.za
  153.                      mbcc@medlink.bbs.co.za
  154.              Fido  : 5:7107/24
  155.  
  156.              You can also fax this registration form:
  157.  
  158.              Attention  : P GALT
  159.              Fax Number : +27 11 768-1099
  160.  
  161.