home *** CD-ROM | disk | FTP | other *** search
/ Amiga Tools 3 / Amiga Tools 3.iso / wb-tools / npp / registration_form < prev    next >
Encoding:
Text File  |  1995-04-09  |  1.7 KB  |  60 lines
  1.  
  2.           Registration by Uckermark Software Design
  3.           -----------------------------------------
  4.  
  5.           I want to register the program : " New Palette Prefs "
  6.           by you. Please send me a disk with the latest registered version.
  7.  
  8.           name:      _______________________________________________________
  9.  
  10.           address:   _______________________________________________________
  11.  
  12.                      _______________________________________________________
  13.  
  14.                      _______________________________________________________
  15.  
  16.           country:   _______________________________________________________
  17.  
  18.           telephone: _______________________________________________________
  19.  
  20.           e-mail:    _______________________________________________________
  21.  
  22.           hardware:  _______________________________________________________
  23.  
  24.                      _______________________________________________________
  25.  
  26.  
  27.           I send the shareware-fee as (please mark)
  28.  
  29.            o   DM  20,- cash (included in this envelop).
  30.  
  31.            o   US$ 10,- cash (included in this envelop).
  32.  
  33.            o   eurocheque over DM 20,- (included in this envelop).
  34.  
  35.            o   barcheque over US$ 15,- (included in this envelop).
  36.  
  37.  
  38.           I have read the chapter 'legal_stuff' in the manual and
  39.           agree.
  40.  
  41.  
  42.  
  43.  
  44.            _____________________  ___________________________________________
  45.                  (date)                        (signature)
  46.  
  47.  
  48.           Please don't forget to send an envelop with your address
  49.           and a disk, thanks for your appreciation.
  50.  
  51.  
  52.           please send to:
  53.  
  54.            Uckermark Software Design
  55.            16303 Schwedt / Oder
  56.            Postfach 1419
  57.            germany
  58.  
  59.  
  60.