UtilityWorks Registration Form

It may be no fun to fill in forms, but this form is a convenient way to let the UtilityWorks author know a little bit more about UtilityWorks Users. Fill in as many of the blanks as possible, but it is only required to enter information in those blanks with a red background. The information that you enter is formatted into an E-Mail message which is sent to the UtilityWorks author, George Wilde. The information that you submit will only be used to assist in developing the content of this WEB Site and potential future enhancements to UtilityWorks. None of this information will be sold or provided to other individuals. Thank you for taking the time to fill in this form. An E-Mail containing the UtilityWorks password will be sent to you after this Registration Form has been submitted.

Please identify and describe yourself.

Name:

Age: Sex: Male Female

Occupation:

Please provide the following contact information.

Street Address:

City:

State:
ZIP:

Country:

Home Phone:

Work Phone:

FAX:

E-Mail:

URL (if any):

Please describe your Apple IIGS computer setup.

RAM: KBytes Apple IIGS Type: ROM 01 ROM 03

5 1/4 in Drives: 3 1/2 in Drives:

Hard Disk Size: MBytes
Accelerator (if any):
TransWarp ZIP GS

Modem:
Baud
Printer:

Experience Level: Other Computers:

Other Peripherals:

Favorite Programs:

UtilityWorks Registration Form

Please identify and describe yourself.

Name:

Age: Sex: Male Female

Occupation:

Please provide the following contact information.

Street Address:

City:

State:
ZIP:

Country:

Home Phone:

Work Phone:

FAX:

E-Mail:

URL (if any):

Please describe your Apple IIGS computer setup.

RAM: KBytes Apple IIGS Type: ROM 01 ROM 03

5 1/4 in Drives: 3 1/2 in Drives:

Hard Disk Size: MBytes
Accelerator (if any):
TransWarp ZIP GS

Modem:
Baud
Printer:

Experience Level: Other Computers:

Other Peripherals:

Favorite Programs:

Please enter any comments regarding UtilityWorks here.

Return to UtilityWorks Home Page

Street Address:
City:
State:		ZIP:
Country:
Home Phone:
Work Phone:
FAX:
E-Mail:
URL (if any):

RAM:	KBytes	Apple IIGS Type:	ROM 01 ROM 03
5 1/4 in Drives:		3 1/2 in Drives:
Hard Disk Size:	MBytes	Accelerator (if any):	TransWarp ZIP GS
Modem:	Baud	Printer:
Experience Level:		Other Computers:
Other Peripherals:
Favorite Programs:

UtilityWorks Registration Form

Please identify and describe yourself. Name: Age: Sex: Male Female Occupation:

Please enter any comments regarding UtilityWorks here.

Return to UtilityWorks Home Page

Please identify and describe yourself.

Name:

Age: Sex: Male Female

Occupation: