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Text File  |  1991-04-02  |  4.3 KB  |  60 lines
  1. +------------------------------------------------------------------------+
  2. |  VGACAD v2.40 Registration Form     DATE TODAY:                        |
  3. +-----------------------------------+------------------------------------+
  4. |  TO: Marvin Gozum                 | [  ]  $27.95 US  BASIC             |
  5. |  ->  2 Independence Pl. #1105     |                  REGISTRATION FEE  |
  6. |      Philadelphia, PA 19106       |                                    |
  7. |      U.S.A.                       | [  ]  $15.00 US  OUTSIDE USA/CANADA|
  8. |-----------------------------------|                  HANDLING FEE      |
  9. |  FULL NAME    (PLEASE PRINT !!!)  |                                    |
  10. |  & ADDRESS                        | [  ]  $10.00 US  OPTIONAL 3.5"     |
  11. |                                   |                  DISK UPDATE FEE   |
  12. |                                   |       ______                       |
  13. |                                   |                                    |
  14. |                                   |                                    |
  15. |                                   |       ______ TOTAL ENCLOSED        |
  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   [  ] 286  Manufacturer/Model/RAM/Speed(Mhz)   |
  25. |              [  ] XT/AT  [  ] 386                                      |
  26. |                                                                        |
  27. |  Monitor     [  ] Analog           Manufacturer/Model/Max. Resolution  |
  28. |              [  ] Multisync                                            |
  29. |                                                                        |
  30. |  Mouse       [  ] No               Manufacturer/Model/(Serial or Bus)  |
  31. |              [  ] Yes                                                  |
  32. |                                                                        |
  33. |  Video Card  [  ] PS/2 MCGA/VGA    Manufacturer/Model/Video RAM        |
  34. |            * [  ] VGA/SVGA clone                                       |
  35. |                                                                        |
  36. |                                  / [  ] ATI         [  ] Chips & Tech  |
  37. |                                /   [  ] Paradise    [  ]               |
  38. |                     Chipset  /     [  ] Tseng 3000  [  ]               |
  39. |                              \     [  ] Tseng 4000  [  ] Genoa GVGA    |
  40. |                                \   [  ] Video7      [  ] Oak           |
  41. |                                  \ [  ] Headlands   [  ] Everex        |
  42. |                                                                        |
  43. |                                    [  ] Other (Please describe at back |
  44. |                                         and give TEL# of manufacturer  |
  45. |                                         so that we can support it)     |
  46. |                                                                        |
  47. |  * Do you have a 256 color Video Mode you want to see in future VGACAD |
  48. |    updates/utilities ?  If so, please specify resolution and calling   |
  49. |    "number" (code); refer to your manual for "hex" or decimal codes.   |
  50. |                                                                        |
  51. |    _____ x ____ x 256 colors       _____ (HEX)  or     _____  (DEC)    |
  52. |                                                                        |
  53. |  OTHER EQUIPMENT                                                       |
  54. |  (Scanner,Video Grabber, etc)                                          |
  55. |                                                                        |
  56. |                                                                        |
  57. |  (use back for comments)                         Signature             |
  58. +------------------------------------------------------------------------+
  59.  
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