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Text File  |  1989-05-24  |  4.0 KB  |  56 lines
  1. +------------------------------------------------------------------------+
  2. |  VGACAP v5.0  Registration Form      DATE TODAY:                       |
  3. +------------------------------------+-----------------------------------+
  4. |  TO: Dr. Marvin Gozum              | [  ]  $27.95 BASIC REGISTRATION   |
  5. |      2 Independence Place - #303-2 |                                   |
  6. |      6th and Locust Street         | [  ]  $15.00 HANDLING FOR OUTSIDE |                                  |
  7. |      Philadelphia, PA 19106        |              OF USA/CANADA ORDERS |
  8. |------------------------------------|                                   |
  9. |  FULL NAME    (PLEASE PRINT)       | [  ]  $10.00 FOR 3.5" UPDATES     |
  10. |  & ADDRESS                         |              (optional)           |
  11. |                                    |                                   |
  12. |                                    |     =========                     |
  13. |                                    |               TOTAL               |
  14. |                                    |               ENCLOSED            |
  15. |                                    |     =========                     |
  16. +------------------------------------+-----------------------------------+
  17. |  How         [  ] COMPUSERVE Forum:                                    |
  18. |  Acquired ?  [  ] LOCAL BBS   Name:                                    |
  19. |                         City/State:                                    |
  20. |                               Tel#:                                    |
  21. |              [  ] DISTRIBUTOR Name:                                    |
  22. |              [  ] FRIEND/ASSOCIATE                                     |
  23. +------------------------------------------------------------------------+
  24. |  Computer    [  ] PS/2             Manufacturer/Model/CPU/Speed(Mhz)   |
  25. |              [  ] PC/XT/AT ------->                                    |
  26. |                                                                        |
  27. |  Memory      [  ] 512 KB RAM                                           |
  28. |              [  ] 640 KB RAM       Manufacturer/Model/RAM on Board     |
  29. |              [  ] Other ---------->                                    |
  30. |                                                                        |
  31. |  Monitor     [  ] PS/2             Manufacturer/Model/Max. Resolution  |
  32. |              [  ] Other ---------->                                    |
  33. |                                                                        |
  34. |  Mouse or    [  ] NONE             Manufacturer/Model/(Serial or Bus)  |
  35. |  Pointing    [  ] MOUSE ---------->                                    |
  36. |  Device      [  ] Other ---------->                                    |
  37. |                                                                        |
  38. |  Video Card  [  ] MCGA/VGA (PS/2)                                      |
  39. |              [  ] 8514/A   (PS/2)  Manufacturer/Model/Video RAM        |
  40. |            * [  ] VGA  (Other) --->                                    |
  41. |            * [  ] SVGA (Other) --->                                    |
  42. |                                                                        |
  43. |  * Do you have a 256 color Video Mode you want to see in future VGACAD |
  44. |    updates/utilities ?  If so, please specify resolution and calling   |
  45. |    "number" (code); refer to your manual for "hex" or decimal codes.   |
  46. |                                                                        |
  47. |    _____ x ____ x 256 colors       _____ (HEX)  or     _____  (DEC)    |
  48. |                                                                        |
  49. |  OTHER EQUIPMENT                                                       |
  50. |  (Scanner,Video Grabber, etc)                                          |
  51. |                                                                        |
  52. |                                                                        |
  53. |  (use back for comments)                         Signature             |
  54. +------------------------------------------------------------------------+
  55.  
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