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Text File  |  1994-10-03  |  2.6 KB  |  81 lines
  1.     Print out this form and send it filled out to the following address:
  2.  
  3.                             Kai Seidel
  4.                             Traunsteiner Str. 19
  5.                             83355 Grabenstätt
  6.                             GERMANY
  7.  
  8. ----- 8< ---------------------------------------------------------------------
  9.  
  10.  
  11.  
  12.                        Text-Wandler V3.7 Registration Form
  13.                        -----------------------------------
  14.  
  15.  
  16.    Name:  ___________________________           Date: _______________________
  17.  
  18.    Mailing Address: _________________________________________________________
  19.  
  20.               City: ____________________________ State: ____  Zip:___________
  21.  
  22.            Country: ____________________________
  23.  
  24.              Phone: +____-(__)___________-____________
  25.  
  26.              EMail:  ________________________________________________________
  27.  
  28.                      ________________________________________________________
  29.  
  30.                      ________________________________________________________
  31.  
  32.  
  33.        Computerconfiguration (type, equipment, accessories etc.):
  34.  
  35.                     ________________________________________________________
  36.  
  37.                     ________________________________________________________
  38.  
  39.                     ________________________________________________________
  40.  
  41.  
  42.    Where did you receive this program: _____________________________________
  43.  
  44.  
  45.                                                       German DM    US$
  46.    I would like to get:
  47.  
  48.       X    a registered version of Text-Wandler.........15.00     10.00
  49.  
  50.       o    I'm sending a disk with this registration
  51.            form for copying the registered version
  52.            to it........................................--.--     --.--
  53.  
  54.       o    I'm not sending a disk. I'll pay for it.......1.00      1.00
  55.  
  56.       o    I live outside of Europe. To cover the
  57.            additional costs of air mail I add............5.00      5.00
  58.  
  59.    I am sending...
  60.       o    a EuroCheque.................................--.--     --.--
  61.       o    a wire bank transfer.........................--.--     --.--
  62.       o    cash (German DM or US $ only)................--.--     --.--
  63.                                                      ====================
  64.  
  65.  
  66.                        This gives a TOTAL AMOUNT of  ____________________
  67.  
  68.   Bank-Address :
  69.  
  70.    Kreisparkasse Traunstein-Trostberg, Account 856591, Bank-ID 710 520 50
  71.  
  72.   I have read the copyright and warranty stuff and agree with them.
  73.  
  74.  
  75.  
  76.   _____________________  ____________________________________________
  77.           (Date)                         (Signature)
  78.  
  79.  
  80.  
  81.