Registration form for WinDAC32 1.3

Name : ______________________________________________

First Name : ________________________________________

Street : ____________________________________________

Town : ___________________________________ ZIP:______

Country : ___________________________________________

Email : _____________________________________________

Used Drive : ________________________________________

Firmware Version : __________________________________

Used Driver&Version : _______________________________

Where did you find DAC : ____________________________

       Part                                        Prize in
                                                   DM    US-Dollar

1. ( ) WinDAC32 1.3 first registration             40    31
2. ( ) WinDAC32 1.3 Update from DOS Version 1.1    30    23
3. ( ) WinDAC32 1.3 Update from DOS Version 2.x    20    15
4. ( ) WinDAC32 1.3 Studio licence (registered
       for 4 PC's)                                117    85

5. [ ] DAC 2.3 DOS Version                         20    15

6.     Postage (Porto)-Allways                      3     3

       Sum                                         __DM  __US-Dollar


5. is optional to one of the four first Parts. It is not
available separately!

Send this to:
Christoph Schmelnik
Stolzingweg 29
D-45307 Essen
Germany

or by email:
Fido: 2:2448/2010.4
Internet: christoph@kali.rhein-ruhr.de