Stevenson Technical Services, Inc. (STSI)
                            108 Second Avenue West
                            Bertha, MN 56437-0297
                            Phone: (218) 924-2050
                          FAX: (218) 924-2050 (Ext. 11)
                      The Bertha BBS: (218) 924-2060, N,8,1

                          BOOT'R 2.05 Registration Form

     Qty    Description                                Price Each    Total

    _____   BOOT'R Single-User Registration               $34.95    ________
              Includes Printed Manual, 3 1/2" & 5 1/4" Diskettes

    _____   BOOT'R Site-License (# of Users? ____)       _______    ________

            # of Users      Price           # of Users      Price
            ----------    ---------         ----------    ---------
                 5         $100.00              50         $400.00
                10         $200.00             100         $500.00
                20         $300.00            More?         CALL


                                                      Sub-Total:    ________

                         Minnesota Residents Add 6.5% Sales Tax:    ________

    Shipping & Handling (US & Canada = $5.00, Foreign = $10.00):    ________

                                                          Total:    ________


    Name: ___________________________________  Title: ______________________

  Company: _________________________________________________________________

  Address: ______________________________  City: ___________________________

    State: ___________  Zip Code: ______________  Phone: ___________________

  Please Register BOOT'R To This Name: _____________________________________


    Method of Payment: ___ Visa/MC   ___ American Express   ___ Discover

                       ___ Check/Money Order Enclosed

           (Checks/MO's must be in U.S. Funds drawn on a U.S. Bank!)

  Credit Card #: _________________________________  Expiration Date: ___/___

  Name on Card: _______________________  Signature: ________________________

  Comments / Suggestions: __________________________________________________

  __________________________________________________________________________

  __________________________________________________________________________


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    Please take a minute to answer the following questions.  Your answers
    will assist us in improving and marketing BOOT'R.


    (Check all that apply.)

    Where did you hear about BOOT'R?

    [ ] BBS    [ ] Catalog/Magazine    [ ] Friend/Relative    [ ] Other


    What operating systems / environments do you use?

    [ ] DOS    [ ] Windows   [ ] DESQview/DESQview/X     [ ] OS/2


    What version of DOS do you use? ________________________________________


    Do you use any of the following programs/utilities?

    [ ] Stacker    [ ] SuperStor    [ ] DoubleSpace


    Why are you registering BOOT'R?

    [ ]  I'm honest by nature.
    [ ]  The prelog delay is so annoying!


    What feature(s) do you like the most about BOOT'R? _____________________

  __________________________________________________________________________

  __________________________________________________________________________


    What feature(s) would you like to see added to BOOT'R? _________________

  __________________________________________________________________________

  __________________________________________________________________________


    Additional Comments: ___________________________________________________

  __________________________________________________________________________

  __________________________________________________________________________


    May We Quote You?    [ ] Yes    [ ] No    [ ] Doesn't Matter








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