THE A64 PACKAGE V1.01n REGISTRATION FORM, Please print or type all information.

NAME    _____________________________________________________________________

ADDRESS _____________________________________________________________________

CITY    ________________________ STATE __________________ ZIP _______________

HOME PHONE (   ) _______________ WORK PHONE (   ) _______________

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Please take the time to answer a few questions. Your comments and suggestions
will help us to put out better product upgrades and to develop other products.
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When telling us where you obtained The A64 Package please be specific. Give
name of: local BBS, telecom service, computer store, etc.  This will help us
to support The A64 Package by letting us know where it is available.

Where did you get The A64 Package?  ______________________ (    )____________
                                            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 kinds of programs do you use?    Games ___ Graphics ___ Utilities ___ 
Sound ___ Business ___ Education ___ Other (specify) ________________________

Please check if you own another C64 emulator:  GO-64! ___ The 64 Emulator ___

What will you use The A64 Package for? ______________________________________

_____________________________________________________________________________

What would you like to see in future releases of The A64 Package? ___________

_____________________________________________________________________________

Are there any other products you would like to see QuesTronix develop? ______

_____________________________________________________________________________

Do you have any additional comments or suggestions? _________________________

_____________________________________________________________________________

 (Please use another sheet or the back of this form if you need more room.)
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THE A64 PACKAGE ORDER FORM - Make checks payable to QuesTronix 

Please add $3.00 for shipping and handling. Overseas orders add an additional
$2.00 for a total of $5.00 for shipping and handling.  CT residents add 8%
sales tax.

_____ A64 Hardware Interface and License Fee			       $25.00
_____ A1000 Adapter Cable					       $20.00
      						Shipping and Handling  $
                                          CT Resident, Sales Tax (8%)  $
								       ------
						Total Inclosed	       $

     Send to: QuesTronix, P.O. Box 340285, Hartford, CT. 06134-0285