home *** CD-ROM | disk | FTP | other *** search
/ Magnum One / Magnum One (Mid-American Digital) (Disc Manufacturing).iso / d8 / telerepl.arc / REGISTER.DOC < prev    next >
Encoding:
Text File  |  1990-09-12  |  2.1 KB  |  53 lines
  1. TeleReplica Registration Form
  2. =========== ============ ====
  3.  
  4. Note: It is assumed you have already obtained and evaluated a copy of
  5.       TeleReplica. This form is provided for registration only. No disk or
  6.       documentation will be sent to you; your payment is for the benefit
  7.       you have already received from TeleReplica.
  8.  
  9.       The following details are optional. If you provide them, then you
  10.       will be notified of any further release of TeleReplica. As a
  11.       registered user, you are entitled to use all future releases
  12.       without additional registration fees. You should obtain any new
  13.       release in whatever way you obtained your first copy.
  14.  
  15.  
  16.                                               Date: _____________
  17.  
  18. Name: _______________________________________ Title: ____________
  19.  
  20. Company: ________________________________________________________
  21.  
  22. Address: ________________________________________________________
  23.  
  24. _________________________________________________________________
  25.  
  26. City: ___________________________________________________________
  27.  
  28. State: ________________________________ Postcode/Zip: ___________
  29.  
  30. Country:_________________________________________________________
  31.  
  32.  
  33.  
  34. Please complete the form below. Cheques may be drawn on either U.S.
  35. or Australian accounts (the exchange rate will cover my bank charges
  36. for currency conversion if you choose to pay in US$).
  37. +----------+------------------------------+----------+----------+
  38. |          |                              | Cost     | Total    |
  39. | Quantity | Description                  | per link | Cost     |
  40. +----------+------------------------------+----------+----------+
  41. |          | registration of              | AU$50.00 |          |
  42. |          | TeleReplica release 1.2      |    or    |          |
  43. |          |                              | US$50.00 |          |
  44. +----------+------------------------------+----------+----------+
  45.  
  46.  
  47. Send to:     Mr Douglas Thomson
  48.              c/- G.I.A.E.
  49.              Switchback Road
  50.              Churchill
  51.              Victoria      3842
  52.              AUSTRALIA
  53.