Surname and Name
Profession/Title
Company/School
Address
ZIP/City
Country
Telephone
E-mail
CD-ROM 1
-
-
-
CD-ROM 2
-
-
-
CD-ROM 3
-
-
-
Platform
____________?____________
Macintosh
PC IBM compatible
Computer
____________?____________
Mac 68040
Mac PowerPc
PC 486
Pentium 1
Pentium 2
Pentium 3
Pentium 4
Other
System
____________?____________
Mac OS 7
Mac OS 8
Mac OS 9
Mac OS X
Windows 95
Windows 98
Windows 2000
Windows NT
Windows XP
Other
Monitor (colors)
____________?____________
Thousand (16 bit)
Million (32 bit)
Internet
____________?____________
14.4 Kb
28.8 Kb
33.6 Kb
56 Kb
ISDN
ADSL
LAN
CABLE
Other
DVD
____________?____________
Yes
No