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Text File  |  1995-06-30  |  3KB  |  71 lines
  1.  
  2.                            --------------------------
  3.                            FastEcho Registration Form
  4.                            --------------------------
  5.  
  6.        FastEcho can be registered with this form for users in
  7.        Baltic states (Latvia, Estonia, Lithuania) and the
  8.        territory of former USSR.
  9.  
  10.        If you are a node of FidoNet, SBCNet or ZyXELnet, I
  11.        will send your key(s) via Crash mail directly to you.
  12.  
  13.        If you do not have address in any of these nets, your key will
  14.        be held for pickup on Castle available on the following number:
  15.  
  16.               +371-2-223986 - ZyXEL 19,200 ZyX/V32b/V32/V42b
  17.        2:5100/8@fidonet, 14:3300/100@sbcnet, 16:1700/105@zyxelnet
  18.  
  19.  
  20. Hereby I order a key for FastEcho.
  21.  
  22. Name       : ______________________________________________________________
  23. Street     : ______________________________________________________________
  24. City       : ______________________________________________________________
  25. Postalcode : ________
  26. Country    : ______________________________________________________________
  27.  
  28. Net Address: __:____/____.____    [  ] FidoNet  [  ] SBCNet  [  ] ZyXELnet
  29. BBS name   : ______________________________________________________________
  30.              (only if available)
  31.  
  32. What tosser were you using before using FastEcho?: ________________________
  33.  
  34. Mailer:           _________________________________________________________
  35.  
  36. Hardware:         _________________________________________________________
  37.  
  38.  
  39. ORDER INFORMATION
  40.  
  41. [  ] Node-Key(s) for FastEcho (each) Ls 3.5,--           : Ls ____.__
  42.  
  43. [  ] Send key(s) per disk, add Ls 1.5,-- for handling    : Ls ____.__
  44.     (Note: this service available only in Baltic states)
  45.  
  46.         [  ] 5.25"      [  ] 3.5"
  47.  
  48.                                                          ------------
  49.                                               Total      : Ls ____.__
  50.                                                          ============
  51.  
  52. Only cash payments are accepted currently.
  53.  
  54. I, __________________, the undersigned,
  55.  
  56. promise that no FastEcho Key(s) will be distributed to others and I am to
  57. ensure that my key is not accessible to any other person.
  58.  
  59.                                              Date: __-__-19__
  60.  
  61.                                              Signature:
  62.  
  63.                                              _______________________
  64.  
  65.  
  66.  
  67. Mail this form to:      Egons Bush
  68.                         20 Virzas street
  69.                         Iecava,  District Bauska
  70.                         LV-1339  LATVIA
  71.