This is a Registration Form for single-computer users.
Please take your time and fill in as much information as possible so that
we can serve you better.
Thank you very much.

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First and Last Name:
Street Address:
City/Town:
Postal Code:
Country:
Tel.:
Job Position:
Job Address:
E-mail address (if any):
Preferred diskette size (check one):
   [ ] 3.5"
   [ ] 5.25"
Source of Easy Comm (check one):
   [ ] a friend
   [ ] a BBS
   [ ] a software distributor (please give the name):
   [ ] Unix archive
   [ ] other (please specify):
Upgrade from version (new users leave blank):
Registration fee attached (see calculation below): $
Comments and suggestions:


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Registration fee calculation for new users:
   - registration fee for Easy Comm 2.5....$35.00
   - shipping and handling:.................$3.00
                                          -------
   - total:................................$38.00

Registration fee calculation for users upgrading from versions below 2.0:
   - registration fee for Easy Comm 2.5....$10.00
   - shipping and handling:.................$3.00
                                          -------
   - total:................................$13.00