home *** CD-ROM | disk | FTP | other *** search
/ Hot Shareware 35 / hot35.iso / ficheros / DGRAF / QVPRO230.ZIP / ORDER.FRM < prev    next >
Text File  |  1998-06-05  |  2KB  |  60 lines
  1.                     QuickView Registration Form              Ver. 2.30
  2.  
  3.  
  4.     Name: ____________________________________________________________
  5.  
  6.     Company: (if applicable) _________________________________________
  7.  
  8.     Address: _________________________________________________________
  9.  
  10.              _________________________________________________________
  11.  
  12.              _________________________________________________________
  13.  
  14.     Country: _________________________________________________________
  15.  
  16.     Email address: (optional) ________________________________________
  17.  
  18.     I got QuickView from: ____________________________________________
  19.  
  20.     Please also answer the following questions concerning your
  21.     system. It helps me if problems occur.
  22.  
  23.     CPU Type: _____________________________  memory: _________________
  24.  
  25.     Graphics card: ___________________________________________________
  26.  
  27.     Soundcard: _______________________________________________________
  28.  
  29.  
  30.     [ ] QuickView current shareware version           ( only S. & H. )
  31.     [ ] QuickView registration for private users      (35 DM or $25US)
  32.     [ ] QuickView registration for students           (20 DM or $15US)
  33.     [ ] QuickView registration for commercial users   (70 DM or $50US)
  34.     [ ] Foreign cheque surcharge                               ($10US)
  35.     [ ] Shipping & Handling inside Europe             ( 5 DM or  $4US)
  36.     [ ] Shipping & Handling outside Europe            ( 7 DM or  $5US)
  37.         (none for email delivery)
  38.                                                        ---------------
  39.  
  40.                                                Total:  _______________
  41.  
  42.     Please mark with an X:
  43.     Payment:  [ ] cash, $US or DM
  44.               [ ] Eurocheque or cheque drawn to a German bank, DM only
  45.               [ ] other cheque, add surcharge of $10US
  46.               [ ] postal money order, DM only
  47.               [ ] Bank transfer, please contact the author first
  48.  
  49.     Delivery: [ ] on disk (3.5", 1.44 Mb)
  50.               [ ] via email, don't forget your email-address!
  51.  
  52.     Comments, bug reports, wishes:
  53.  
  54.     __________________________________________________________________
  55.  
  56.     __________________________________________________________________
  57.  
  58.     __________________________________________________________________
  59.  
  60.