                 GRIM-WARE TECHNOLOGIES REGISTRATION FORM
                             EDITION DATE:12-18-93                 

Your First Name:_________________________

Your Last Name:__________________________

Home Phone(VOICE):______________________
(area code first)

Work Phone(VOICE):______________________
(area code first)

Hours that are best to call:_______________________

Your POSTAL ADDRESS:___________________

Your STREET ADDRESS:___________________

Your State:__________________

Your Zip-Code:_______________


Do You own a Hard Drive: [ ]=Yes [ ]=No

What type of Drive is your Hard Drive:_____________

What size is it:____________

What type of software do you own:__________________

What Type of Processer are you using: [ ]=80286 [ ]=80386 SX/DX [ ]=OTHER

If OTHER please Specify:__________________

What are your interests in software:_______________________________________
___________________________________________________________________________
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Did you find the Documentation to be helpful: [ ]=Yes [ ]=No

If NO then Explain:_______________________________________________________
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What do you Recommend for Upgrades:______________________________________
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What was your overall Liking or disliking to the program:

[ ]=Ok [ ]=Good [ ]=Poor [ ]=Excellent [ ]=Needs Work

Did you experience any problems(Bugs) with the software:

[ ]=Yes [ ]=No

If YES Then Please Explain(In detail,List drivers,ram,etc..):
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Is their anything else you'd like to add:

[ ]=Yes [ ]=No

If YES then Explain(You may add sheets if needed):
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