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  1.  ----------------------------------------------------------------------------- 
  2. |     -------------------------------------------------------------------     |
  3. |    |                     FormGen Fill Registration                     |    |
  4. |     -------------------------------------------------------------------     |
  5. |                                                                             |
  6. |    FormGen Fill is a copyright program distributed on a "Shareware" basis   |
  7. |    - it may be freely distributed for TRIAL use.  You get the benefit of    |
  8. |    being able to try it out BEFORE you buy.  If it's not useful, simply     |
  9. |    destroy or give away your copy and accept my thanks for trying it.       |
  10. |                                                                             |
  11. |    If, however, you find it beneficial and continue using it, you must      |
  12. |    register it by completing the bottom of this form and sending the        |
  13. |    appropriate fee.  We'll send you the latest release of the program,      |
  14. |    a high quality manual with a tutorial, more forms for you to use,        |
  15. |    and much more.  Registration is REQUIRED for business and government     |
  16. |    use.                                                                     |
  17. |                                                                             |
  18. |    Registered users get:                                                    |
  19. |                                                                             |
  20. |      o the latest version of the program with all the latest updates        |
  21. |        and improvements                                                     |
  22. |      o a FREE page preview utility for your FormGen program which will      |
  23. |        let you see how your forms will look BEFORE you print them           |
  24. |      o a printed manual with complete instructions and information on       |
  25. |        all the program's features                                           |
  26. |      o special discounts on future upgrades and other FormGen products      |
  27. |      o a FREE Compuserve Infomation Service membership which includes       |
  28. |        your signon password, and a $15 usage credit (A $49 VALUE!)          |
  29. |                                                                             |
  30. |    The registration is a very low price, but it helps me to make a          |
  31. |    living and to continue to maintain and improve the program.              |
  32. |                                                                             |
  33. |    THANK YOU! ...for supporting shareware!       Randy MacLean - author     |
  34. |                                                                             |
  35. |-----------------------------------------------------------------------------|
  36. |                                                                             |
  37. |    USA: Randy MacLean                    Canada or: Randy MacLean           |
  38. |         FormGen Corporation              overseas   FormGen Corporation     |
  39. |         PO Box 279                                  13 Holland Drive        |
  40. |         North Andover, MA, USA                      Bolton, ON, Canada      |
  41. |         01845-0279                                  L7E 1G4                 |
  42. |         (800) 263-2390                              (416) 857-4141          |
  43. |                                                                             |
  44. | Brazil: Maple Informatica                Australia: Manaccom Pty.           |
  45. | & SA    R. Maranhao, 554-cj.26           & SE Asia  9 Camford Street        |
  46. |         01240 Sao Paulo                             Milton, Queensland      |
  47. |         Brazil                                      Australia  4064         |
  48. |         (011) 825-9390                              (07) 368-2366           |
  49. |                                                                             |
  50. |   U.K.: Shareware Publishing                                                |
  51. |         3A Queen Street                                                     |
  52. |         SEATON, Devon, EX12 2NY                                             |
  53. |         England                                                             |
  54. |         0297-24092                                                          |
  55. |                                                                             |
  56. | Questions & Technical Support: (416) 857-0022 (voice)  (416) 857-4531 (FAX) |
  57. |                                                                             |
  58.  -----------------------------------------------------------------------------
  59.  ----------------------------------------------------------------------------- 
  60. |                                                                             |
  61. |                               I N V O I C E                                 |
  62. |                                                                             |
  63. |   Company:__________________________    Name:____________________________   |
  64. |                                                                             |
  65. |   Address:__________________________    Credit Card #:___________________   |
  66. |                                                                             |
  67. |   City:________________ State:______    Expiry Date:_____________________   |
  68. |                                                                             |
  69. |   Zip:______________________________    Date:____________________________   |
  70. |                                                                             |
  71. |     ===================================================================     |
  72. |           x FormGen Registration(s)            @ 49.00 =                    |
  73. |     -------------------------------------------------------------------     |
  74. |           x FormGen Fill (fills out forms)     @ 49.00 =                    |
  75. |     -------------------------------------------------------------------     |
  76. |           x Business Form Collection #1        @  9.95 =                    |
  77. |     -------------------------------------------------------------------     |
  78. |           x Business Form Collection #2        @  9.95 =                    |
  79. |     -------------------------------------------------------------------     |
  80. |           x Medical Form Collection            @  9.95 =                    |
  81. |     -------------------------------------------------------------------     |
  82. |           x Home & Hobby Form Collection       @  9.95 =                    |
  83. |     -------------------------------------------------------------------     |
  84. |           x Disk DUP disk duplicator           @ 25.00 =                    |
  85. |     -------------------------------------------------------------------     |
  86. |           x PDL Phone Dialer                   @ 25.00 =                    |
  87. |     -------------------------------------------------------------------     |
  88. |           x Utility Pak (DOS utilities)        @ 25.00 =                    |
  89. |     -------------------------------------------------------------------     |
  90. |           x FormGen ProDesign                  @ 99.00 =                    |
  91. |     -------------------------------------------------------------------     |
  92. |                            Canadian residents add 7% GST                    |
  93. |     -------------------------------------------------------------------     |
  94. |                             Ontario residents add 8% PST                    |
  95. |     ===================================================================     |
  96. |                                                    TOTAL                    |
  97. |                                                                             |
  98. |     Check here to receive your FREE form collection:                        |
  99. |     (check two boxes if you're sending one or more of your own forms)       |
  100. |       _                                    _                                |
  101. |      |_| Business Collection #1           |_| Medical Collection            |
  102. |      |_| Business Collection #2           |_| Home & Hobby Collection       |
  103. |                                                                             |
  104. |    USA: FormGen Corporation                  U.K.: Shareware Publishing     |
  105. |         PO Box 279                                 3A Queen Street          |
  106. |         North Andover, MA, USA                     SEATON, Devon, EX12 2NY  |
  107. |         01845-0279                                 England                  |
  108. |         (800) 263-2390  (416) 857-4141             0297-24088               |
  109. |                                                                             |
  110. | Brazil: Maple Informatica               Australia: Manaccom Pty.            |
  111. | & SA    R. Maranhao, 554-cj.26          & SE Asia  9 Camford Street         |
  112. |         01240 Sao Paulo                            Milton, Queensland       |
  113. |         Brazil                                     Australia  4064          |
  114. |         (011) 825-9390                             (07) 368-2366            |
  115. |                                                                             |
  116. | Questions & Technical Support: (416) 857-0022 (voice)  (416) 857-4531 (FAX) |
  117.  -----------------------------------------------------------------------------
  118.  ----------------------------------------------------------------------------- 
  119. |                                                                             |
  120. |                            S I T E   L I C E N S E                          |
  121. |                            =======================                          |
  122. |                                                                             |
  123. |                                                                             |
  124. |                                                                             |
  125. |  Upon payment of the license fee of $__________, FormGen Corp. hereby       |
  126. |                                     (from table)                            |
  127. |                                                                             |
  128. |  grants ________________________ a license to reproduce and distribute      |
  129. |         (company name)                                                      |
  130. |                                                                             |
  131. |  up to ________ of FormGen Fill for use within the company.  FormGen        |
  132. |        (copies)                                                             |
  133. |                                                                             |
  134. |  agrees to provide master disks and documentation upon receipt of this      |
  135. |                                                                             |
  136. |                                                                             |
  137. |  form and the appropriate license fee.                                      |
  138. |                                                                             |
  139. |                                                                             |
  140. |                                                                             |
  141. |                         Site License Fee Schedule                           |
  142. |                         -------------------------                           |
  143. |                                                                             |
  144. |              copies     fee                                                 |
  145. |                                                                             |
  146. |                  10 - $ 250 (master disk & 10 manuals provided)             |
  147. |                  25 - $ 500 (master disk & 25 manuals provided)             |
  148. |                  50 - $ 900 (master disk & 1 master manual provided)        |
  149. |                 100 - $1500 (master disk & 1 master manual provided)        |
  150. |           unlimited - $2500 (master disk & 1 master manual provided)        |
  151. |                                                                             |
  152. |                                                                             |
  153. |  -----------------------------------                                        |
  154. | | Name:                             |       ------------------------------- |
  155. | |-----------------------------------| VISA |       |       |       |       ||
  156. | | Company:                          |      |-+-+-+-|-+-+-+-|-+-+-+-|-+-+-+-||
  157. | |-----------------------------------| MC   |       |       |       |       ||
  158. | | Address:                          |      |-+-+-+-|-+-+-+-|-+-+-+-|-+-+-+- |
  159. | |-----------------------------------| AMEX |       |           |         |  |
  160. | | City:                 State:      |       -+-+-+-|-+-+-+-+-+-+-+-+-+-+-   |
  161. | |-----------------------------------|          -------                      |
  162. | | Zip:                              | Expires |   |   |                     |
  163. |  -----------------------------------           -+-+-+-                      |
  164. |                                                                             |
  165. |  Send to: FormGen Corporation                                     #### #### |
  166. |           PO Box 279                                              #    #    |
  167. |           North Andover, MA, USA                                  ###  ###  |
  168. |           01845-0279                                              #    #    |
  169. |           (800) 263-2390  (416) 857-4141                          #    #    |
  170. |                                                                             |
  171.  -----------------------------------------------------------------------------