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register.doc
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1989-05-01
|
4KB
|
56 lines
+------------------------------------------------------------------------+
| VGACAD v1.60 Registration Form DATE TODAY: |
+------------------------------------+-----------------------------------+
| TO: Dr. Marvin Gozum | [ ] $27.95 BASIC REGISTRATION |
| 2 Independence Place - #303-2 | |
| 6th and Locust Street | [ ] $15.00 HANDLING FOR OUTSIDE |
| Philadelphia, PA 19106 | OF USA/CANADA ORDERS |
|------------------------------------| |
| FULL NAME (PLEASE PRINT) | [ ] $10.00 FOR 3.5" UPDATES |
| & ADDRESS | (optional) |
| | ============ |
| | |
| | TOTAL ENCLOSED |
| | ============ |
| | |
+------------------------------------+-----------------------------------+
| Where/How [ ] COMPUSERVE Forum: |
| Acquired ? [ ] LOCAL BBS Name: |
| City/State: |
| Tel#: |
| [ ] DISTRIBUTOR Name: |
| [ ] FRIEND/ASSOCIATE |
+------------------------------------------------------------------------+
| Computer [ ] PS/2 Manufacturer/Model/CPU/Speed(Mhz) |
| [ ] PC/XT/AT -------> |
| |
| Memory [ ] 512 KB RAM |
| [ ] 640 KB RAM Manufacturer/Model/RAM on Board |
| [ ] Other ----------> |
| |
| Monitor [ ] PS/2 Manufacturer/Model/Max. Resolution |
| [ ] Other ----------> |
| |
| Mouse or [ ] NONE Manufacturer/Model/(Serial or Bus) |
| Pointing [ ] MOUSE ----------> |
| Device [ ] Other ----------> |
| |
| Video Card [ ] MCGA/VGA (PS/2) |
| [ ] 8514/A (PS/2) Manufacturer/Model/Video RAM |
| * [ ] VGA (Other) ---> |
| * [ ] SVGA (Other) ---> |
| |
| * Do you have a 256 color Video Mode you want to see in future VGACAD |
| updates/utilities ? If so, please specify resolution and calling |
| "number" (code); refer to your manual for "hex" or decimal codes. |
| |
| _____ x ____ x 256 colors _____ (HEX) or _____ (DEC) |
| |
| OTHER EQUIPMENT |
| (Scanner,Video Grabber, etc) |
| |
| |
| (use back for comments) Signature |
+------------------------------------------------------------------------+