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Text File  |  1991-02-02  |  2.4 KB  |  80 lines
  1.                           XSET 1.1 Registration Form
  2.                           FOR NEW REGISTRATIONS ONLY
  3.  
  4.    Please complete this form and send it to:
  5.  
  6.  
  7.                                  STERN Marc
  8.                     Av. de la Basilique 376 bte 19
  9.                     1080 Bruxelles
  10.                     Belgique
  11.  
  12.  
  13.    You will then receive the password to decrypt the registered
  14.    version of XSET.
  15.  
  16.  
  17.  
  18.   Additional information:   32.2.427.98.52 (after 19h)
  19.                          or 32.2.465.01.19
  20.  
  21.                   E-mail:   stern@mble.philips.be
  22.  
  23.  
  24.                                                    Date ________________
  25.  
  26.     Name:  _____________________________________________________________
  27.  
  28. (Company:) _____________________________________________________________
  29.  
  30.  Address:  _____________________________________________________________
  31.  
  32.            _____________________________________________________________
  33.  
  34.            _____________________________________________________________
  35.  
  36.  
  37. From where did you hear of XSET :   ____________________________________
  38.  
  39. registered people gaving you XSET : ____________________________________
  40. (he will receive each new upgrade for free! So, put his name here)
  41.  
  42. XSET features you find most useful: ____________________________________
  43.  
  44.                        ____________________________________
  45.  
  46. Features you find least or not useful: _________________________________
  47.  
  48.                           _________________________________
  49.  
  50. Features you would like to see added (use additional pages, if necessary):
  51.  
  52. _________________________________________________________________________
  53.  
  54. _________________________________________________________________________
  55.  
  56.  
  57.   Payment by:    ( ) Cash in this envelope
  58.  
  59.                  ( ) Account  000-0286710-75   Stern A.
  60.                                                Av. Laure 58
  61.                                                1080 Bruxelles
  62.                                                BELGIUM
  63.  
  64.                      Please indicate: For Stern M., XSET registration
  65.  
  66.  
  67.   Price:
  68.          Personal use:   $15 (300 BEF)  x ....      ________
  69.  
  70.          Company:        $25 (500 BEF)  x ....      ________
  71.  
  72.          Network                 ┐
  73.                     ├ $150 (3000 BEF)  ________
  74.          More than 10 computers  ┘
  75.                                                     ========
  76.  
  77.                                         TOTAL       ________
  78.  
  79.   Signature:
  80.