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Text File  |  1996-01-06  |  2KB  |  46 lines
  1.         To:  Oliver Fromme                                      [17c]
  2.              Leibnizstr. 18-61
  3.              38678 Clausthal
  4.              GERMANY
  5.  
  6.  
  7.         Single user registration form for QPV/386, valid for all future
  8.         versions.  Please print this file and send it to the address
  9.         above.  Please write clear and legible!  Please read the
  10.         REGISTER.DOC file first!  Germans please use the German
  11.         registration form instead of this one.
  12.  
  13.         Your name:  ________________________________________
  14.  
  15.         Address:    ________________________________________
  16.  
  17.                     ________________________________________
  18.  
  19.                     ________________________________________
  20.  
  21.         Country:    ________________________________________
  22.  
  23.         Email address
  24.         (optional): ________________________________________
  25.  
  26.         Please tick (see REGISTER.DOC for help, e.g. other currencies):
  27.  
  28.         []  QPV/386 single private registration:       30 DM or  20 $US
  29.         []  QPV/386 single commercial registration:    60 DM or  40 $US
  30.  
  31.         []  QPV/386 current shareware (no reg.!):       5 DM or   5 $US
  32.  
  33.         []  JPEG Unit or   []  DLL, private:           80 DM or  60 $US
  34.             (commercial licenses available on request)
  35.  
  36.         []  foreign cheque surcharge:                  15 DM     10 $US
  37.                                                    --------------------
  38.                                              Sum:  ____________________
  39.  
  40.         Payment:  []  cash (enclosed), $US or DM  (see PRICES.DOC)
  41.                   []  Eurocheque (enclosed), DM only
  42.                   []  other cheque (enclosed), add 15 DM or 10 $US
  43.  
  44.  
  45.         Signature: ___________________________________________________
  46.