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REGISTER.GER
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1995-06-12
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6KB
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147 lines
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Ice Utilities European Registration Form
-----------------------------------------------------------------------------
The information needed for the registration key and where the key will
be sent to:
BBS Information:
----------------
Sysop Name : [__________________________________________________]
(Exactly as it appears in your BBS configuration!)
BBS Name : [__________________________________________________]
BBS Software: [__________________________________________________]
BBS Version : [__________________________________________________]
Computer : [__________________________________________________]
BBS Phone : (_____)_____-________
Modem Type & Speed : [___________________________________________]
Address Details:
----------------
Name : [__________________________________________________]
Address : [__________________________________________________]
City : [__________________________________________________]
Province : [_________________] Post Code: [____________]
Country : [_________________] Voice Phone : (_____)_____-________
Prices below are for cash, EuroCheques, American checks,
or bank transfers (NO OTHER CHECKS THEN ABOVE!)
Programs registering: IceBank, Deluxe TimeBank System [ ] $15 / DM 25
IceChat, Deluxe Splitscreen Chatter [ ] $15 / DM 25
IceEdit, Deluxe FullScreen Editor [ ] $15 / DM 25
IceNote, Note To All Users Door [ ] $12 / DM 20
IceUser, RA Online User Editor [ ] $12 / DM 20
Payment method: Cash [ ]
EuroCheque [ ] $5 / DM 5
GIRO [ ]
Total registration cost (US$) ________
Make EUROCHECK or money order payable to: "Vince Maggio"
total. You can also transfer money to the following account:
Bank Account Holder: Irene Maggio
H & G Bank Heidelberg
Konto #: 64165208
BLZ: 672 901 00
You can register online through our credit card door - or, send in the
the completed credit form below. NO registrations will be forwarded until
credit card numbers have been verified! Also remember that a completed
registration form (this document) must be either uploaded, mailed, or
netmailed (CRASHMAIL ONLY!) to me prior to receiving your key(s).
IF PAYING BY VISA/MASTERCARD, THE FOLLOWING PRICES APPLY :
Programs registering: IceBank, Deluxe TimeBank System [ ] DM 35
IceChat, Deluxe Splitscreen Chatter [ ] DM 35
IceEdit, Deluxe FullScreen Editor [ ] DM 35
IceNote, Note To All Users Door [ ] DM 30
*************** ALL CREDIT CARDS WILL BE BILLED IN DM ***************
The following information will be needed for processing:
Username: ___________________________________
Cardtype: Visa/MasterCard ________
Cardowner: __________________________________
(EXACTLY as name appears on card)
Cardnumber:____-____-____-_____
Expiration: (00/00): ____
You can expect your key to be ready a week after I receive your payment.
***** PLEASE DO NOT POLL BEFORE THIS OR YOU WILL BE DISAPPOINTED! ******
If you want your key by mail (Include additional DM7/ $5US for Disk)
----------------------------
Disk format : [ ] 3.5"
[ ] 5.25"
If you want your key by "polling" - Fidonet Node number Required
----------------------------------------------------------------
Node number : [_____] : [_____] / [_____] . [_____]
Session pwd : [________]
My FIDO addresse is:
2:2468/6022 - V.FC 28.8/v.32bis.
Please Check One : [_] I will poll for my key from Modem Link BBS
[_] I would like my key crashed to me
Comments/Bug Reports : _______________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Upon receipt of the registration key, I hereby promise that I will
be the only one using this key. I will not give it out to anybody,
no matter how much they beg and cry, it is for my use only.
I understand that if I give this key out, or it is removed from my
possession, I am in violation of this agreement. I also understand
that upon violation of this agreement, legal action may be taken
against myself.
______________________________ ___/___/_____
(Your signature, in ink) (date)
Send your registration to : IceSoft Registration
Vince Maggio
11A Rhein str
69126 Heidelberg
Germany