Ezycom V1.01 Registration Form
Shareware/Non-Commercial/Commercial
This registration form is for VISA/MASTERCARD orders
only. It is advised that Internationial Orders be placed
using this method. Please complete in full to avoid
delays in receiving the registration key.
Note: One Registration Per Form.
The registration forms can be sent to
Australian Patrol Services
PO BOX 167
Cheltenham VIC 3192
Australia
or via a 24 Hour BBS 61-3-585-0495 (2400/V32)
Fido 3:636/200
or via a 24 Hour FAX 61-3-585-1582
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[Sysop Name]
(This MUST match the sysop name that appears in the CONFIG)
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[Your Name/Business Name]
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[Address]
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[BBS Name]
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[BBS Phone Number]
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[Voice Phone Number]
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[Network Names and Addresses] Eg. Fido 3:636/213
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[Maximum Baud Rate(s)] [Hours of Operation] Eg 2400 24Hrs
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[Registration Type] (Shareware/Non-Commercial/Commercial)
[ ] Ezycom (Shareware) $50AUD
[ ] Ezycom, EzyEdit (Shareware) $70AUD
[ ] Ezycom (Non-Commercial) $150AUD
[ ] Ezycom, EzyEdit (Non-Commercial) $170AUD
[ ] Ezycom, EzyEdit, Manual (Commercial) $250AUD
(Cross Appropriate Box)
Key
Ezycom = Ezycom Package
EzyEdit = Ezycom Full Screen Editor
Manual = Printed/Bound Manual for Ezycom
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[Card Holder's Name]
Please debit my [ ]VISA [ ]MASTERCARD for $AUD____
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Card Number
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Signature Expirey Date