ORDER FORM To get a your copy of The A64 Package, print out this file and then fill out the bottom portion and send it with your payment to: QuesTronix P.O. Box 340265 Hartford, CT 06134-0265 U.S.A. US customers can pay with a check or money order. Make checks payable to QuesTronix. Foreign customers can pay with either an international money order or cash. If cash is used please send it registered mail. We can not be held responsible for lost or misdirected funds. Funds must be in US currency and payable through a US bank. US orders are shipped PRIORITY mail and foreign orders are shipped AIR MAIL. Please allow 2-4 weeks for delivery. Please take the time to fill out the Order Form completely. The information you put on it will help us to put out better updates of The A64 Package. Users without printers can substitute the registration form with a letter. If you need more information you can write to the above address or call (203)296-6037 (voice and fax). THE A64 PACKAGE V3.01 ORDER FORM FIRST NAME _______________________ LAST NAME _______________________ ADDRESS _____________________________________________________________ CITY _____________________________ STATE/PROVIDENCE ________________ COUNTRY __________________________ ZIP CODE/POSTAL CODE ____________ DAY PHONE ( ) __________________ Please make sure you add the correct shipping and handling charges. USA: $5.00, Canada and Mexico: $6.00, all other countries: $10.00 _____ The A64 Package V3.01 $69.95 _____ A1000 Adapter Cable $20.00 Shipping and Handling $ Connecticut Resident, Sales Tax (6%) $ ------ Total Enclosed $ ===================================================================== PLEASE TYPE OR PRINT ALL INFORMATION ===================================================================== Where did you get A64? __________________________ ( )____________ Name Phone What Amiga model do you own? ______________________________________ What other computer(s) do you own? __________________________________ What peripheral(s) to you own? ______________________________________ What computer magazine(s) do you read? ______________________________ What types of Amiga programs do you currently use? Games ___ Graphics ___ Utilities ___ Sound ___ Business ___ Education ___ Programming ___ Other (specify) _______________________ What types of Amiga programs would you like to see more of? Games ___ Graphics ___ Utilities ___ Sound ___ Business ___ Education ___ Programming ___ Other (specify) _______________________ Do you own another C64 emulator: GO-64! ___ The 64 Emulator ___ What will you use The A64 Package for? Running C64 Software ___ File Transfers ___ Programming ___ Other (specify) __________________ What would you like to see in future releases of The A64 Package? ___ _____________________________________________________________________ What other products would you like to see QuesTronix develop? _______ _____________________________________________________________________ Do you have any additional comments or suggestions? _________________ _____________________________________________________________________ Please use the back of this form if you need more room