home *** CD-ROM | disk | FTP | other *** search
/ The First Hungarian Family / The_First_Hungarian_Family_CD-ROM.bin / internet / offlread / utils / sea11 / register.frm < prev    next >
Text File  |  1995-10-13  |  2KB  |  64 lines
  1.  REGISTRATION FORM: SEA 1.1
  2.  Please fill out this form in print &
  3.  Please read the registering instructions in the file SEA.DOC carefully.
  4.  NOTE: Contact us for special group registration discounts.
  5.  
  6.  Send to :
  7.     SEA VIEWER
  8.     CHRYSANTENSTRAAT 34
  9.     5462 AW VEGHEL
  10.     THE NETHERLANDS.
  11.  
  12. ─────────────────────────────────────────────────────────────────────────────
  13.  
  14.     SINGLE REGISTRATION:
  15.  
  16.     Name      : _________________________________________
  17.     Address   : _________________________________________
  18.                 _________________________________________
  19.                 _________________________________________
  20.                 _________________________________________
  21.     Country   : _________________________________________
  22.  
  23.     E-Mail    : _________________________________________ (option)
  24.  
  25.     Would you like to receive your
  26.     registration file by E-Mail as well ?      [ ] Yes    [ ] No
  27.  
  28.     A single registration costs :
  29.  
  30.              24 US$ (includes shipping, outside Europe cash/Foreign cheque)
  31.        or    Hfl 35 (includes shipping, inside Europe cash/Eurocheque).
  32.  
  33.  
  34.     Method of Payment   [ ] Cash enclosed.
  35.                         [ ] Euro cheque enclosed.
  36.                         [ ] Foreign cheque enclosed.
  37.  
  38.             Dutch residents can also transfer fl.35,-- to our
  39.             GIRO account.
  40.             [ ] Money transfer to GIRO: 6295782 
  41.  
  42.     Signature       : ___________________________________
  43.  
  44.     Where did you get the SEA-Viewer ?
  45.       [ ] BBS.
  46.       [ ] FTP site.
  47.       [ ] Usenet newsgroup
  48.       [ ] SEA WWW-page
  49.       [ ] Friend.
  50.  
  51.     What changes, extended features would you like to see in a future version?
  52.     _________________________________________________________________________
  53.     _________________________________________________________________________
  54.     _________________________________________________________________________
  55.     _________________________________________________________________________
  56.  
  57.     If you have any other comments, suggestions or bug-reports, please state
  58.     them below.
  59.     _________________________________________________________________________
  60.     _________________________________________________________________________
  61.     _________________________________________________________________________
  62.     _________________________________________________________________________
  63.  
  64.