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Text File  |  1997-07-10  |  1KB  |  47 lines
  1.  
  2. Registration to SerTrans:
  3. ~~~~~~~~~~~~~~~~~~~~~~~~~
  4.  
  5. Name and FirstName.........: ________________________________________________
  6.  
  7. Street and Number..........: ________________________________________________
  8.  
  9. City and ZipCode...........: ________________________________________________
  10.  
  11. E-Mail.....................: ________________________________________________
  12.  
  13. Phone# (Voice).............: ________________________________________________
  14.  
  15. Phone# (Data)..............: ________________________________________________
  16.  
  17. Phone# (Fax)...............: ________________________________________________
  18.  
  19. Computer...................: ________________________________________________
  20.  
  21. Memory.....................: ________________________________________________
  22.  
  23. Processor..................: ________________________________________________
  24.  
  25. Other Hardware.............: ________________________________________________
  26.  
  27.                              ________________________________________________
  28.  
  29.                              ________________________________________________
  30.  
  31.  
  32. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
  33.  
  34. Please send this Form to mc@mania.prometheus.de
  35. or via normal Mail to:
  36.  
  37. Dirk Tietke
  38. Neue Anlagen 10
  39. 25767 Bunsoh
  40. Germany
  41. Tel.: 04835-9292
  42.  
  43. AccountNo.: 652465-208
  44. Blz       : 200 100 20
  45. Bank      : Postgiroamt Hamburg
  46.  
  47.