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  1.                     QuickView Registration Form           Ver. 1.02a
  2.  
  3.  
  4.     Name: __________________________________________________________
  5.  
  6.     Company: (if applicable) _______________________________________
  7.  
  8.     Address: _______________________________________________________
  9.  
  10.              _______________________________________________________
  11.  
  12.              _______________________________________________________
  13.  
  14.     Country: _______________________________________________________
  15.  
  16.     Email address: (optional) ______________________________________
  17.  
  18.     I got QuickView from: __________________________________________
  19.  
  20.     Please also answer the following questions concerning your
  21.     system. It helps me if problems occur.
  22.  
  23.     CPU Type: ______________________________________________________
  24.  
  25.     Graphics card: _________________________________________________
  26.  
  27.     Soundcard: _____________________________________________________
  28.  
  29.  
  30.     [ ] QuickView current shareware version:        ( 3 DM or  $2US)
  31.     [ ] QuickView single private registration:      (35 DM or $25US)
  32.     [ ] QuickView single commercial registration:   (70 DM or $50US)
  33.     [ ] Foreign cheque surcharge:                            ($10US)
  34.     [ ] Shipping & Handling inside Europe:          ( 5 DM or  $4US)
  35.     [ ] Shipping & Handling outside Europe:         ( 7 DM or  $5US)
  36.         (none for email delivery)
  37.                                                      ---------------
  38.  
  39.                                              Total:  _______________
  40.  
  41.     Please mark with an X:
  42.     Payment:   [ ]  cash, $US or DM
  43.                [ ]  Eurocheque, DM only
  44.                [ ]  other cheque, add surcharge of $10US
  45.                [ ]  postal money order, DM only
  46.  
  47.     Disk size: [ ]  5.25" (1.2 Mb)
  48.                [ ]  3.5" (1.44 Mb)
  49.                [ ]  via email, don't forget your email-address!
  50.  
  51.     Comments, bug reports, wishes:
  52.  
  53.     ________________________________________________________________
  54.  
  55.     ________________________________________________________________
  56.  
  57.     ________________________________________________________________
  58.  
  59.     ________________________________________________________________
  60.  
  61.