Registration Form for WinSmtp 1.07
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To register the WinSmtp product, please fill in the complete form and
send in the indicated amount.  For this, you will receive unlimited
updates to all minor version updates of this product.  You will also
be able to be on the products mailing list and news list, if you so
desire.  These lists will be used to send out information and
discussion about the WinSmtp product.

Please make sure that your name, organization, and registration
information are exactly as indicated in the program.  If necessary,
you may use either apostrophes (') or quotes (") around the entire
string to indicate the entire string.

Please fill out this form and return it, with a cheque or money
order, to:

Wildbear Consulting
8-589 Beechwood Drive,
Waterloo, Ontario, Canada
N2T 2K9

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Name:_________________________________________________________


Organization:_________________________________________________


Mail Node Name:_______________________________________________


Electronic Mailing Address:___________________________________

                           ___________________________________

Land Mail Address:____________________________________________

                  ____________________________________________

                  ____________________________________________

Telephone Number (not mandatory):_____________________________


Purchasing Information
----------------------

Shareware Version:

[  ] Enclosed is $50 in American Funds for people living outside
     of Canada and $50 in Canadian Funds for people living inside
     of Canada.  

Commercial Version:

[  ] Enclosed is $100 in American Funds for people living outside
     of Canada and $100 in Canadian Funds for people living inside
     of Canada.  

Land-Mail Copy:

[  ] Enclosed is $10 in American Funds for people living outside
     of Canada and $10 in Canadian Funds for people living inside
     of Canada.  This will provide me with a copy of the program
     on a 3.5" diskette sent to me over land mail.

Please send the above as a:

[  ] Win16 version, for Windows 3.1, Windows 3.11, and Windows For
     Workgroups

[  ] Win32 version, for Win95 and NT.

Ontario Residents please add 8% Ontario Provincial Sales Tax and
7% Goods and Services Tax, and Canadian Residents outside of
Ontario please add 7% Sales Tax.  Canadian Orders received without
the proper taxes will be returned to the sender. GST Number available
to users upon request and paying of taxes.

Total Remitted Before Taxes:    _______________

Total Taxes:                    _______________

Total Remitted With Taxes:      _______________

Support
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Please make choices here as to what kind of information wish to
receive on a supportive on going basis.

I wish to be on the WinSmtp announcements list:         Y   N

I wish to be on the WinSmtp registered users list:      Y   N

I wish to be on the product list for future products
        by the company.                                 Y   N

Agreement
---------

I understand the warranty as expressed in the About box of
this product (under Help | About ) and I agree to to follow those
rules.  Futhermore, I understand that failing to follow those
rules may void any usage agreements about the product as well as
possible legal action.  In return, the company agrees to make
sure that I am informed of any minor upgrades to the product,
as well as the providing of service with regards to the identification
and resolution of problems with the software.  This process will
be done in a reasonable time, and will be conducted over Internet
e-mail.


Signature:__________________________    Date:_________________


For Wildbear Purposes:


Data Recd:_______________   Added To Lists:____ Sent: ________