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  1.  ┌────────────────────────────────────────────────────────────────────────────┐
  2.  │                OnScreen/2 2.11 Registration - NON USA ONLY                 │
  3.  │                                                                            │
  4.  │ Name    __________________________________________________________________ │
  5.  │ Company __________________________________________________________________ │
  6.  │ Address __________________________________________________________________ │
  7.  │         __________________________________________________________________ │
  8.  │ Phone   _____________________________  Fax _______________________________ │
  9.  │                                                                            │
  10.  │ Register OnScreen/2 to:   [ ] Company     [ ] Individual                   │
  11.  │                                                                            │
  12.  │ Where did you download/receive OnScreen/2 from ___________________________ │
  13.  │                                                                            │
  14.  │ Where did you hear about OnScreen/2 ? ____________________________________ │
  15.  │                                                                            │
  16.  │ Your E-Mail address (if any)    __________________________________________ │
  17.  │                                                                            │
  18.  │ Update notification via E-Mail   [ ]                                       │
  19.  │                                                                            │
  20.  │ All prices are in US dollars.                                              │
  21.  │                                                                            │
  22.  │  PRODUCT                            PRICE   NUMBER OF COPIES        VALUE  │
  23.  │                                                                            │
  24.  │  OnScreen/2 for OS/2               $20.00   * ________ =     + $ ________  │
  25.  │  OnScreen/2 for DOS                $20.00   * ________ =     + $ ________  │
  26.  │  OnScreen/2 for Win32              $20.00   * ________ =     + $ ________  │
  27.  │  OnScreen/2 for OS/2 & DOS         $30.00   * ________ =     + $ ________  │
  28.  │  OnScreen/2 for OS/2 & Win32       $30.00   * ________ =     + $ ________  │
  29.  │  OnScreen/2 for Win32 & DOS        $30.00   * ________ =     + $ ________  │
  30.  │  OnScreen/2 for OS/2, DOS & Win32  $35.00   * ________ =     + $ ________  │
  31.  │                                                                            │
  32.  │  Total:                                                        $ ________  │
  33.  │                                                                            │
  34.  └────────────────────────────────────────────────────────────────────────────┘
  35.  ┌────────────────────────────────────────────────────────────────────────────┐
  36.  │                               PAYMENT METHOD                               │
  37.  │ Check one                                                                  │
  38.  │  [ ] Cash                                                                  │
  39.  │  [ ] Cheque/Money order                                                    │
  40.  │                                                                            │
  41.  │ Please make cheques payable to John Allen. If sending cash please use      │
  42.  │ registered post.                                                           │
  43.  │                                                                            │
  44.  │                          CREDIT CARD PAYMENT ONLY                          │
  45.  │ Check one                                                                  │
  46.  │  [ ] Visa                                                                  │
  47.  │  [ ] Mastercard                                                            │
  48.  │  [ ] Access                                                                │
  49.  │                                                                            │
  50.  │  Credit card number:      _________________________________________        │
  51.  │                                                                            │
  52.  │  Expiration date:         ______________________                           │
  53.  │                                                                            │
  54.  │  Authorization signature: ______________________                           │
  55.  │                                                                            │
  56.  └────────────────────────────────────────────────────────────────────────────┘
  57.  ┌────────────────────────────────────────────────────────────────────────────┐
  58.  │                               ORDERING MENU                                │
  59.  │                                                                            │
  60.  │            Via Surface Mail: John Allen                                    │
  61.  │                              Warp Factor 7                                 │
  62.  │                              121 Moyville                                  │
  63.  │                              Rathfarnham                                   │
  64.  │                              Ireland.                                      │
  65.  │                                                                            │
  66.  │                         Fax: Intl + 353-1-2600710                          │
  67.  │                                                                            │
  68.  │ Technical support questions: Internet jallen@iol.ie (John Allen, author)   │
  69.  │                                                                            │
  70.  └────────────────────────────────────────────────────────────────────────────┘
  71.  ┌────────────────────────────────────────────────────────────────────────────┐
  72.  │                             DISCOUNT STRUCTURE                             │
  73.  │                                                                            │
  74.  │ Qty     Percentage discount                                                │
  75.  │ 2-5     5%.                                                                │
  76.  │ 6-10    6%.                                                                │
  77.  │ 11-20   8%.                                                                │
  78.  │ 20-100  10%.                                                               │
  79.  │ 100+    please call or email                                               │
  80.  │                                                                            │
  81.  └────────────────────────────────────────────────────────────────────────────┘
  82.  ┌────────────────────────────────────────────────────────────────────────────┐
  83.  │                     Additional information (optional)                      │
  84.  │                  Which is your working environment like?                   │
  85.  │                                                                            │
  86.  │   Operating System                            Hardware spec                │
  87.  │ OS/2 1.x         [ ]            __________________________________________ │
  88.  │ OS/2 2.x         [ ]            __________________________________________ │
  89.  │ OS/2 Warp 3.0    [ ]            __________________________________________ │
  90.  │ Windows 3.x      [ ]            __________________________________________ │
  91.  │ Windows NT 3.1   [ ]            __________________________________________ │
  92.  │ Windows NT 3.5   [ ]            __________________________________________ │
  93.  │ DOS              [ ]            __________________________________________ │
  94.  │ Linux            [ ]            __________________________________________ │
  95.  │ FreeBSD          [ ]            __________________________________________ │
  96.  │ Macintosh        [ ]            __________________________________________ │
  97.  │ Other Unix       _____________  __________________________________________ │
  98.  │ Other            _____________  __________________________________________ │
  99.  │                                                                            │
  100.  │ This information will help me decide whether to port OnScreen/2 to         │
  101.  │ additional platforms.                                                      │
  102.  └────────────────────────────────────────────────────────────────────────────┘
  103.  
  104.  Thanks,
  105.  John J. Allen
  106.  
  107.  
  108.