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Text File  |  1992-01-29  |  3KB  |  83 lines
  1.                           XSET 2.0 Registration Form
  2.                           ==========================
  3.  
  4.  
  5.    Please complete this form and send it to:
  6.  
  7.  
  8.                                  STERN Marc
  9.                     Av. de la Basilique 376 bte 19
  10.                          1080 Bruxelles
  11.                     Belgique
  12.  
  13.  
  14.  
  15.    You will then receive the password to decrypt the registered
  16.    version of XSET.
  17.  
  18.  
  19.  
  20.   Additional information:   32.2.427.98.52 (after 19h Belgian time)
  21.                          or 32.2.465.01.19
  22.  
  23.                   E-mail:   stern@mble.philips.be
  24.  
  25.  
  26.                                                    Date ________________
  27.  
  28.     Name:  _____________________________________________________________
  29.  
  30. (Company:) _____________________________________________________________
  31.  
  32.  Address:  _____________________________________________________________
  33.  
  34.            _____________________________________________________________
  35.  
  36.            _____________________________________________________________
  37.  
  38.      Tel:  _____________________           Fax:  _____________________
  39.  
  40.   E-mail:  __________________________________________
  41.  
  42.  
  43. From where did you find XSET :      ____________________________________
  44.  
  45. XSET features you find most useful: ____________________________________
  46.  
  47.                        ____________________________________
  48.  
  49. Features you find least or not useful: _________________________________
  50.  
  51.                           _________________________________
  52.  
  53. Features you would like to see added (use additional pages, if necessary):
  54.  
  55. _________________________________________________________________________
  56.                         
  57. _________________________________________________________________________
  58.  
  59.  
  60.   Payment by:    ( ) Cash in this envelope
  61.  
  62.                  ( ) Cheque in this envelope to:
  63.  
  64.                                      Stern M.
  65.                                      Av. de la Basilique 376 bte 19
  66.                                      1080 Bruxelles
  67.                                      BELGIUM
  68.  
  69.                      Please indicate: For Stern M., XSET registration
  70.  
  71.  
  72.   Price:
  73.          Personal use:   $15 (400 BEF)  x ....      ________
  74.  
  75.          Company:        $25 (600 BEF)  x ....      ________
  76.  
  77.          Network                 } $150 (4000 BEF)  ________
  78.          More than 10 computers  }
  79.                                                     ========
  80.  
  81.                                         TOTAL       ________
  82.  
  83.   Signature: