home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
Aminet 2
/
Aminet AMIGA CDROM (1994)(Walnut Creek)[Feb 1994][W.O. 44790-1].iso
/
Aminet
/
comm
/
mail
/
ems1_0_exec.lha
/
Registration_Form
< prev
next >
Wrap
Text File
|
1993-08-31
|
2KB
|
57 lines
Registration Form
~~~~~~~~~~~~~~~~~
* Please only in English if possible!!! *
(And strip out the left '_')
Name : ______________________________________________________
Full address : ______________________________________________________
______________________________________________________
Country : ______________________________________________________
Network-Addresses : ______________________________________________________
______________________________________________________
Registration type :
( ) 1. From Nothing To Node : 90.000 Lire = 100 DM = 65 US$ = 45 UK£
( ) 2. From Nothing To Point: 45.000 Lire = 50 DM = 30 US$ = 20 UK£
( ) 3. From Point To Node : 60.000 Lire = 65 DM = 40 US$ = 30 UK£
( ) 4. From Node To Node : 50.000 Lire = 55 DM = 35 US$ = 25 UK£
( ) 5. From Point To Point: 20.000 Lire = 20 DM = 15 US$ = 10 UK£
(mark with (X))
Computertyp : A __00
Processor : 680___
Kickstartversion : ______
Old reg.nr. : ______ (If you upgrade from GCC3.x)
Comment : ______________________________________________________
(if necessary ______________________________________________________
& only in Eng- ______________________________________________________
lish!!!!!!!!) ______________________________________________________
Total donation : *** ___ <Lire|DM|US$|UK£> *** ¹)
Registrated via : ________________________
---
¹) + 5 DM | 5 US$ | 2.5 UK£ if registration is via a supporter.