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Text File  |  1994-08-12  |  1KB  |  40 lines
  1.  
  2.                         QVIEW REGISTRATION FORM
  3.                         =======================
  4.  
  5.  
  6. Fill in, and send to:                             BaldSoft
  7.                                                   Petr Kielar
  8.                                                   V hurkach 2144/1
  9.                                           155 00  Prague 5 - Stodulky
  10.                                                   Czech Republic
  11.  
  12.  
  13.  
  14.      User name :_______________________________________
  15.  
  16.         Company:_______________________________________
  17.  
  18.          Street:_______________________________________
  19.  
  20.            City:_______________________________________
  21.  
  22. State, ZIP Code:_______________________________________
  23.  
  24.         Country:________________________________________
  25.  
  26.  
  27.   [ ]   Individual use.............................$18
  28.  
  29.         Multiple use (includes one diskette)
  30.   [ ]     2 computers..............................$27
  31.   [ ]     3 computers..............................$35
  32.  
  33.   .....   computers - $5*(# computers) + $20 ..........
  34.           (e.g. 30 computers -> $5*30+$20 = $170)
  35.  
  36.  
  37. Date:__________________                      Sign:_______________________
  38.  
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