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  1.  
  2.                   Stevenson Technical Services, Inc. (STSI)
  3.                           108 Second Avenue West
  4.                           Bertha, MN 56437-0297
  5.                           Phone: (218) 924-2050
  6.                         FAX: (218) 924-2050 (Ext. 11)
  7.                     The Bertha BBS: (218) 924-2060, N,8,1
  8.  
  9.                           Infodex Registration Form
  10.  
  11.    Qty    Description                                  Price Each     Total
  12.  
  13.   _____   Infodex Registration                             $29.95    ________
  14.             Includes newest version on 3 1/2" & 5 1/4"
  15.             diskettes, technical support, and
  16.             notification of udpates.
  17.  
  18.             (Site-License Needed?  Please call.)
  19.  
  20.                                                         Sub-Total:   ________
  21.  
  22.                            Minnesota Residents Add 6.5% Sales Tax:   ________
  23.  
  24.                             (Foreign Orders Please Add $7.50 S&H):   ________
  25.  
  26.                                                             Total:   ________
  27.  
  28.  
  29.      Name: ___________________________________  Title: ______________________
  30.  
  31.   Company: __________________________________________________________________
  32.  
  33.   Address: ______________________________  City: ____________________________
  34.  
  35.     State: ___________  Zip Code: _______________  Phone: ___________________
  36.  
  37.   Please Register Infodex To This Name: _____________________________________
  38.  
  39.  
  40.   Method of Payment: ___ Visa/MC   ___ American Express   ___ Discover
  41.                      ___ Check/Money Order Enclosed
  42.             (Checks/MO's must be in U.S. Funds drawn on a U.S. Bank!)
  43.  
  44.  
  45.   Credit Card #: __________________________________  Expiration Date: ___/___
  46.  
  47.   Name on Card: _______________________  Signature: _________________________
  48.  
  49.  
  50.   Comments / Suggestions: ___________________________________________________
  51.  
  52.   ___________________________________________________________________________
  53.  
  54.   ___________________________________________________________________________
  55.  
  56.   ___________________________________________________________________________
  57.  
  58.   ___________________________________________________________________________
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  66.                                      Page 1
  67.  
  68.   Please take a minute to answer the following questions.  Your answers
  69.   will assist us in improving and marketing Infodex.
  70.  
  71.   (Check all that apply.)
  72.  
  73.   Where did you hear about Infodex?
  74.  
  75.   [ ] BBS    [ ] Catalog/Magazine    [ ] Friend/Relative    [ ] Other
  76.  
  77.  
  78.   What operating systems / environments do you use?
  79.  
  80.   [ ] DOS    [ ] Windows   [ ] DESQview/DESQview/X     [ ] OS/2
  81.  
  82.  
  83.   What templates of Infodex do you use?
  84.  
  85.   [ ] Business Contacts   [ ] Insurance Policies      [ ] Software
  86.   [ ] Personal Contacts   [ ] Library (Home/Office)   [ ] Recipes
  87.   [ ] Small Info-Notes
  88.  
  89.  
  90.   Which Infodex template do you like/use the most?
  91.  
  92.   [ ] Business Contacts   [ ] Insurance Policies      [ ] Software
  93.   [ ] Personal Contacts   [ ] Library (Home/Office)   [ ] Recipes
  94.   [ ] Small Info-Notes
  95.  
  96.  
  97.   What feature(s) do you like the most about Infodex?  _____________________
  98.  
  99.   __________________________________________________________________________
  100.  
  101.   __________________________________________________________________________
  102.  
  103.  
  104.   What feature(s) would you like to see added to Infodex?  _________________
  105.  
  106.   __________________________________________________________________________
  107.  
  108.   __________________________________________________________________________
  109.  
  110.  
  111.   Additional Comments:  ____________________________________________________
  112.  
  113.   __________________________________________________________________________
  114.  
  115.   __________________________________________________________________________
  116.  
  117.   __________________________________________________________________________
  118.  
  119.  
  120.   May We Quote You?    [ ] Yes    [ ] No    [ ] Doesn't Matter
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  132.                                      Page 2
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