
  REQUEST FORM

  Please enter the required information below.

  Send this as an email attachment directly to <info@reischke.de>

  We will answer within 24h.

  ============================================================================

  COM: [ Your Company Name ]
  NAM: [ Your Name ]
  COD: [ Your Function ]
  DEV: [ Department ]
  STR: [ Street ]
  POB: [ P.O.Box ]
  COU: [ Country ]
  ZIP: [ ZIP/PLZ ]
  CIT: [ City ]
  TEL: [ Phone ]
  FAX: [ Fax ]
  BBS: [ Web Page ]
  EML: [ Email ]
  ANR: [ VAT ID ]
  GRP: [ OS-9 Experience ]
  CON: [ How did you find us ]
  PRO: [ Products of interest ]
  FCO: [ YYMMDD ]
  KAT: [ Manufacturer of your OS-9 System ] [ Model/Type ]

  000000: [E] Your Comments

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  ============================================================================

    Select a Product

    [ ] DEVTOOLS
    [ ] OS9TOOLS
    [ ] OS9MAX64
    [ ] NETDISK
    [ ] HDD REPLACEMENT
    [ ] Other

  ============================================================================

    Important: in case you request information about OS9MAX please
    provide the following details

    Specify your PC OS

    [ ] DOS
    [ ] Windows 3.x
    [ ] Windows 95
    [ ] Windows 98
    [ ] Windows ME
    [ ] Windows NT 4
    [ ] Windows 2000
    [ ] Windows XP
    [ ] Linux
    [ ] Mac OS

    Specify your OS-9 Disk

    [ ] Floppy Disk (Single-Density/SD)
    [ ] Floppy Disk (Double-Density/DD)
    [ ] Floppy Disk (High-Density/HD)
    [ ] Harddisk (IDE)
    [ ] Harddisk (SCSI)
    [ ] ZIP Disk
    [ ] MO Disk
    [ ] MO Disk (>512MB)
    [ ] PC Card SRAM
    [ ] PC Card FLASH
    [ ] PC Card ATA (SUN/SANDISK or CompactFlash)
    [ ] Other (specify in comments box)

  ============================================================================

    Specify your OS-9 System

    [ ] Development System
    [ ] Production System
    [ ] Measuring System
    [ ] & System has Network (telnet,ftp)


    Please provide the next important details about your system:

    Manufacturer :

    Model/Type   :

  ============================================================================

    Rate your OS-9 Capability

    [ ] OS-9 Expert (Programmer)
    [ ] OS-9 User (Standard Applications)
    [ ] OS-9 Novice (New User)

    Rate your PC Capability

    [ ] PC Expert (Programmer)
    [ ] PC User (Standard Applications)
    [ ] PC Novice (New User)

    How did you find us ?

    [ ] via Internet
    [ ] via Radisys
    [ ] via another company
    [ ] other

  ============================================================================
