Stevenson Technical Services, Inc. (STSI) 108 Second Avenue West, PO Box 297 Bertha, MN 56437-0297 USA FAX: 218-924-2050, BBS: 218-924-2060 Internet: http://www.stevetech.com E-Mail: support@stevetech.com Replicator For Windows 2.01 Registration Form Registration Benefits: Removal of 10-record database limit & nag screens. Receive a registration number good for all version 2.x releases! Give us your e-mail address for automatic notification of program updates! Orders: "Standard": Includes manual, disk, & receipt, shipped via priority mail. "E-Mail": Receipt sent only upon request. Send PRIVATE CompuServe mail to 76300,3066 (or use internet mail at your own risk). Include your name, address, telephone number, credit card #, and expiration date. SWREG: Orders may also be placed on CompuServe via SWREG (ID #12839). Qty Description Price Each Total _____ Replicator Standard Registration $49.95 ________ _____ Replicator E-Mail Regigistration $39.95 ________ ( Upgrade from Replicator For Windows or DOS v1.x. ) _____ Replicator Standard Upgrade $30.00 ________ _____ Replicator E-Mail Upgrade $20.00 ________ _____ Replicator Network/Site-License Upgrade $10.00 ________ (Price per node=$10.00, Example: 10-user=$100.00) _____ Replicator Network/Site-License (Users? ___) ______ ________ # of Users Price # of Users Price ---------- ------- ---------- ------- 5 -> $150.00 50 -> $800.00 10 -> $300.00 100 -> $1500.00 20 -> $450.00 More? -> CALL Sub-Total: ________ Minnesota Residents Add 6.5% Sales Tax: ________ Shipping/Handling (USA/Canada = $5.00, Foreign = $10.00): ________ (S&H Fee not required for E-Mail registrations or upgrades.) Total: ________ Name: ____________________________ Company: _______________________ Address: ______________________________________________________________ City: ___________________________ State: _____ Zip Code: _________ Country: ___________________________ Phone: __________________________ Internet Address: _____________________________________________________ Please Register Replicator To This Name: ______________________________ Payment: __ Visa/MC __ Amex __ Discover __ Check/Money Order Credit Card #: ______________________________ Expiration Date: ___/___ Name on Card: ____________________ Signature: ________________________ Comments / Suggestions: _______________________________________________ _______________________________________________________________________ _______________________________________________________________________ Page 1 Please take a minute to answer the following questions. Your answers will assist us in improving and marketing Replicator. (Check all that apply.) Where did you hear about Replicator? [ ] BBS [ ] Catalog/Magazine [ ] Friend/Relative [ ] Rack Vendor [ ] User's Group [ ] CompuServe [ ] Other _______________ Please provide name of BBS/Catalog/Magazine/User's Group, (if possible) ______________________________________________________________________ What operating systems / environments do you use? [ ] DOS [ ] Windows [ ] OS/2 [ ] DESQview/DESQview/X [ ] Windows NT [ ] Windows 95 [ ] Other _________________________ Would you like to be notified of updates and enhancements to Replicator via the internet? [ ] Yes [ ] No Internet Address: ________________________________ Are you a CompuServe user? [ ] Yes [ ] No CompuServe Address: ______________________________ What do you use Replicator for? ______________________________________ _______________________________________________________________________ What feature(s) do you like the most about Replicator? _______________ _______________________________________________________________________ What feature(s) would you like to see added to Replicator? ___________ _______________________________________________________________________ Additional Comments: _________________________________________________ _______________________________________________________________________ May We Quote You? [ ] Yes [ ] No [ ] Doesn't Matter Page 2