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Text File  |  1996-01-06  |  2KB  |  63 lines
  1.                           Registration form for db3.0
  2.                   ---------------------------------------------
  3.  
  4.      Name:    ____________________________________________________________
  5.  
  6.      Address: ____________________________________________________________
  7.  
  8.               ____________________________________________________________
  9.  
  10.               ____________________________________________________________
  11.  
  12.      Country: __________________
  13.  
  14.      EMail:   ____________________________________________________________
  15.  
  16.      24h fax: ____________________________________________________________
  17.  
  18.  
  19.      KickStart version: _____  CPU: 680____
  20.  
  21.      Comments (use additional sheets if necessary) _______________________
  22.  
  23.          _________________________________________________________________
  24.  
  25.          _________________________________________________________________
  26.  
  27.          _________________________________________________________________
  28.  
  29.          _________________________________________________________________
  30.  
  31.  
  32.      I am sending my contribution of: (Please tick as appropriate).
  33.       _               _             _              _
  34.      |_| SEK 130     |_| USD 20    |_| DEM 30     |_| GBP 13
  35.  
  36.  
  37.      I have sent you a postcard before 95-01-06 and therefore only pay 1/2
  38.       _               _             _              _
  39.      |_| SEK 60      |_| USD 10    |_| DEM 15     |_| GBP 7
  40.  
  41.      For details on payment see below.
  42.  
  43.               
  44.      Method of payment:
  45.       _                  _                        _
  46.      |_| Enclosed Cash  |_|  Postal Money Order  |_| Giro
  47.  
  48.  
  49.      I prefer to have the password sent to me by:
  50.       _                _              _         
  51.      |_| Postcard     |_| E-mail     |_| Fax (available 24 hours)
  52.  
  53.  
  54.      I agree to that this licence is personal and that it might not
  55.      be valid on future versions of db featuring major enhancements.
  56.  
  57.  
  58.  
  59.  
  60.      _____________________ _____________________________________________
  61.            (Date)                         (Signature)
  62.  
  63.