_______ ____|__ | (R) Just-In-Time --| | |------------------- +-------+ Computing | ____|__ | Association of / J / Services | | |_| Shareware / C / -------------------- |__| o | Professionals / S / P.O. Box 4166 -----| | |--------------------- +-------+ Ithaca, NY 14852 |___|___| MEMBER Registration Form for DAMENU Version 1.2 Please complete the following information and return this form with your check or money order for $15.00 (US FUNDS PLEASE, and please don't send cash) to the address above to register your copy of DAMENU. [Please Print Clearly] Date: _________________ Name: __________________________________________________________________ Company: __________________________________________________________________ Address: __________________________________________________________________ __________________________________________________________________ City: _____________________________ State: ____ Zip:__________ - _______ For individuals or companies wishing to obtain a site license for multiple copies, please use the discount chart below to calculate your price. # of Copies Price/Copy # of Copies Price/Copy ----------- ---------- ----------- --------- 1 - 10 $15.00 51 - 100 $ 9.75 11 - 25 $12.75 101 - 250 $ 8.25 26 - 50 $11.25 251 - 500 $ 6.75 I would like to register ____ copy(s) of DAMENU at: $______ per copy = $_______ NY residents please add 7% sales tax: $_______ Shipping and Handling ($3.00 US; $5.00 Canada; $8.00 International): $_______ Enclosed please find a check or money order for $_______ Registration will entitle me the current version of DAMENU (without any registration screens, or introductory messages) on disk, informed of upgrades & prices, maintenance releases and a telephone support number. Please take a minute to tell us a little about yourself, and if you have any comments or suggestions about DAMENU, feel free to tell us about them! Machine: [ ] 8088/86 [ ] 80286 [ ] 80386 [ ] 80486 [ ] Laptop Disks: [ ] 360k [ ] 1.2M [ ] 720k [ ] 1.44M Where did you get your copy of DAMENU? ____________________________________ Comments/Suggestions about DAMENU: ________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________