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  1. *********************************************************************
  2. *                                                                   *
  3. *                   $VER: Reg.Form 40.2 (22.12.96)                  *
  4. *                                                                   *
  5. *********************************************************************
  6. *                                                                   *
  7. *                         Registration Form                         *
  8. *                                                                   *
  9. *                                for                                *
  10. *                                                                   *
  11. *                     HyperText-DataType-System                     *
  12. *                                                                   *
  13. *                                and                                *
  14. *                                                                   *
  15. *                              UniView                              *
  16. *                                                                   *
  17. *********************************************************************
  18.  
  19. Name            : ___________________________________________________
  20.  
  21. Address         : ___________________________________________________
  22.  
  23. City            : ___________________________________________________
  24.  
  25. State           : ___________________________________________________
  26.  
  27. Zip/Postal Code : ___________________________________________________
  28.  
  29. Country         : ___________________________________________________
  30.  
  31. EMail           : ___________________________________________________
  32.  
  33. WWW             : ___________________________________________________
  34.           Insert here your Home-Page address, if you want a
  35.           link from my Home-Page to your page.
  36.  
  37. Shareware Fee   : __ 40,- DM or __ 30,- US Dollar.
  38.  
  39.  
  40. __ I have transfered the money to your bank account below.
  41.  
  42. __ I have included the money with this registration.
  43.  
  44. __ I have send you a keyfile for my ShareWare ______________ program.
  45.    (after agreement)
  46.  
  47. Note: Please provide a EMail address and a PGP-key.
  48.       If a introduce a keyfile, with this information you get the
  49.       key quickest.
  50.  
  51. This registration form is only for a single lisence registration.
  52. For group registration or product lisence, please contact me before.
  53.  
  54. Send this via EMail to :
  55.  
  56. <ruppert@informatik.fh-wiesbaden.de> or
  57. <Stefan.Ruppert@informatik.fh-wiesbaden.de> or
  58. <ruppert@goofy.zdv.uni-mainz.de>
  59.  
  60. or via postal mail to :
  61.  
  62. Stefan Ruppert
  63. Windthorststraße 5
  64. 65439 Flörsheim
  65. GERMANY
  66.  
  67. --
  68. Bank account :
  69.  
  70. Account owner: Stefan Ruppert
  71. Bank name    : Nassauische Sparkasse Flörsheim, Germany
  72. Bank code    : 510 500 15
  73. Bank account : 208 011 537
  74.  
  75.