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|  VGACAP v8.0 Registration Form     DATE TODAY:                         |
+-----------------------------------+------------------------------------+
|  TO: Marvin Gozum                 | [  ]  $27.95 US  BASIC             |
|  ->  2 Independence Pl. #1105     |                  REGISTRATION FEE  |
|      Philadelphia, PA 19106       |                                    |
|      U.S.A.                       | [  ]  $15.00 US  OUTSIDE USA/CANADA|
|-----------------------------------|                  HANDLING FEE      |
|  FULL NAME    (PLEASE PRINT !!!)  |                                    |
|  & ADDRESS                        | [  ]  $10.00 US  OPTIONAL 3.5"     |
|                                   |                  DISK UPDATE FEE   |
|                                   |       ______                       |
|                                   |                                    |
|                                   |                                    |
|                                   |       ______ TOTAL ENCLOSED        |
+-----------------------------------+------------------------------------+
|  How         [  ] COMPUSERVE Forum:                                    |
|  Acquired ?  [  ] LOCAL BBS   Name:                                    |
|                         City/State:                                    |
|                               Tel#:                                    |
|              [  ] DISTRIBUTOR Name:                                    |
|              [  ] FRIEND/ASSOCIATE                                     |
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|  Operating   [  ] MSDOS  [  ]OS/2 :                                    |
|  System      [  ] Other           :                                    |
|                                                                        |
|  Graphical   [  ] Windows         :                                    |
|  Interface   [  ] Other           :                                    |
|                                                                        |
|  Video Card  [  ] MCGA/VGA         Manufacturer/Model/Video RAM        |
|            * [  ] VGA/SVGA/UVGA                                        |
|                                                                        |
|                                  / [  ] ATI         [  ] Everex        |
|                                /   [  ] Paradise    [  ] Trident 8800  |
|                     Chipset  /     [  ] Tseng 3000  [  ] Trident 8900  |
|                              \     [  ] Tseng 4000  [  ] Genoa GVGA    |
|                                \   [  ] Video7      [  ] Oak           |
|                                  \ [  ] Headland    [  ] C&T 452/3     |
|                                    [  ] AheadB      [  ] C&T 451/5/6   |
|            * [  ] HiColor          [  ] Other       [  ] Herc Station  |
|                   Sierra DAC       ^                           (TIGA)  |
|                                    Please describe at back             |
|                                    and give TEL# of manufacturer       |
|                                    so that we can support it           |
|                                                                        |
|  * Do you have a 256 or 32K color Video Mode you want to see in future |
|    updates/utilities ?  If so, please specify resolution and calling   |
|    "number" (code); refer to your manual for "hex" codes.              |
|                                                                        |
|    _____ x ____ x 256 colors        _____ (HEX)                        |
|                                                                        |
|    _____ x ____ x 32K colors   AX = _____ (HEX)  BX = _____   (HEX)    |
|                                                                        |
|  OTHER EQUIPMENT (Scanner,Video Grabber, etc)                          |
|                                                                        |
|                                                                        |
|                                                                        |
|  (use back for comments)                         Signature             |
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