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RegForm.txt
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1998-01-09
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5KB
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183 lines
REGISTRATION FORM FOR FIASCO 2.11
=================================
To: Nils Bandener
Dekanatsgasse 4
D-34369 Hofgeismar
Germany
eMail: nils@dinoex.sub.org
nilsb@amigaworld.com
Name:
-----------------------------------------------------------
Address:
-----------------------------------------------------------
-----------------------------------------------------------
Country:
-----------------------------------------------------------
eMail:
-----------------------------------------------------------
( ) I do own a 1.76 MB high density disk drive
Item | Single Price | Number | Total Price
----------------------------+--------------------+--------+------------
Registration of Fiasco 2.1 | USD 25.00/DM 30.00 | |
----------------------------+--------------------+--------+------------
Registration of Fiasco 2.1 | free | |
Sender of Gift for 1.x | | |
----------------------------+--------------------+--------+------------
Shipping Europe | USD 4.00/DM 5.00 | |
----------------------------+--------------------+--------+------------
Shipping International | USD 6.00/DM 8.00 | |
----------------------------+--------------------+--------+------------
Shipping eMail | free | |
=======================================================================
Total |
=======================================================================
The amount of
-----------
( ) comes with this letter as cash
( ) comes with this letter as euro cheque.
( ) has been transferred to
Kasseler Sparkasse; bank code (BLZ) 520 503 53;
Account no. 1100353258
I agree the legal details as stated in the documentation.
-------------- -----------------------------------
Date Signature
(If you have sent this form by eMail, you agree with these details
by sending it)
ONLY FOR STATISTICS
===================
You are not required to fill in this form. It is voluntary! The
information will be stored electronically _without_ your name and address.
1. I know Fiasco from
( ) a friend
( ) an article in the magazine
-------------
( ) the PD/Shareware CD or disk
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( ) Aminet
( ) Fiasco Support Homepage
( ) somewhere else:
-------------------------
2. I know Fiasco since release version
( ) 1.0 ( ) 1.1
( ) 1.2 ( ) 2.0
( ) 2.01 ( ) 2.02
( ) 2.1 ( ) 2.11
3. I use Fiasco since release version
( ) 1.0 ( ) 1.1
( ) 1.2 ( ) 2.0
( ) 2.01 ( ) 2.02
( ) 2.1 ( ) 2.11
4. My system:
Computer
( ) A500 ( ) A500+
( ) A600 ( ) A1000
( ) A1200 ( ) A2000
( ) A3000 ( ) A4000
( ) CDTV ( ) CD³²
( )
----------------------
Processor
( ) MC68000 ( ) MC68010
( ) MC68020 ( ) MC68EC020
( ) MC68030 ( ) MC68EC030
( ) MC68040 ( ) MC68EC040
( ) MC68LC040 ( ) MC68060
Frequency MHz Harddisk MB
---- ----
Fast RAM MB Chip RAM MB
---- ----
Kickstart Version . Workbench Version .
--- --- --- ---
Expansions:
------------------------------------------------------------------
------------------------------------------------------------------
5. I use Fiasco for
------------------------------------------------------------------
------------------------------------------------------------------
------------------------------------------------------------------
6. Comments:
------------------------------------------------------------------
------------------------------------------------------------------
------------------------------------------------------------------
7. Personal / miscellaneous data
Age Occupation
----- -------------------
I own an AMIGA since years
-------
I am an AMIGA
( ) expert user ( ) average user ( ) novice user
Other things I do with my AMIGA
------------------------------------------------------------------
------------------------------------------------------------------
8. I would buy a printed manual for Fiasco for about DM 20 or USD 15
(When more people choose yes, the chance will get higher that
the price gets lower)
( ) Yes
( ) No