Registration form for WinDAC32 1.4

Name : ______________________________________________

First Name : ________________________________________

Street : ____________________________________________

Town : ___________________________________ ZIP:______

Country : ___________________________________________

Email : _____________________________________________

Used Drive : ________________________________________

Where did you find DAC : ____________________________

       Part                                        Prize in
                                                   DM    US-Dollar
1. ( ) WinDAC32 1.4 first registration             40    31
2. ( ) WinDAC32 1.4 Update from DOS Version 1.1    30    23
3. ( ) WinDAC32 1.4 Update from DOS Version 2.x    20    15
4. ( ) WinDAC32 1.4 Studio licence (registered
       for 4 PC's)                                117    85

5. [ ] DAC 2.3 DOS Version                         20    15

6. [ ] Postage (Porto) for sending the registered
       version on a disk. Otherwise it is send
       only by email                                3     3

       Sum                                         __DM  __US-Dollar

You can order part 5. only in conjunction with the first four parts !

The registration fee is
( ) included as cash (DM or US-Dollar)
( ) included as an eurocheck (in DM)
( ) included as a check (personal,company in US-Dollar)
( ) sended by international money order (in DM or US-Dollar)
( ) bezahlt per Überweisung (siehe Liesmich.rtf) - german customers only
( ) Version soll per Nachnahme gesended werden - german customers only

For address and detailed information see the registration section in
Readme.rtf or Liesmich.rtf.