Please fill in this form (or it's copy that's included in this distribution) and e-mail or snailmail it to the address mentioned at the bottom.

      +----------------------------------------------------------------+
      |                      REGISTRATION FORM             |           |
      +----------------------------------------------------|           |
      | Program     : HTML-Heaven     Version     : 1.2    |           |
      +----------------------------------------------------------------+
      |                                                                |
      | NAME        :                                                  |
      |                                                                |
      | ADDRESS     :                                                  |
      |                                                                |
      | CITY        :                                                  |
      |                                                                |
      | COUNTY      :                                                  |
      |                                                                |
      | COUNTRY     :                                                  |
      |                                                                |
      | SEX         : _M/_F*    DATE OF BIRTH :                        |
      |                                         (DD-MMM-YYYY)          |
      | PHONE-NUMBER:                             (Voice/Data)*        |
      | FAX-NUMBER  :                                                  |
      |                                                                |
      | E-MAIL ADDR.:                                                  |
      | (NETWORK)   :                                                  |
      |                                                                |
      | AMIGA CONFIG: _ A500   _ A2000   Kick*    CPU*     Memory      |
      |               _ A500+  _ A3000   _ 2.04   _ 68000  __ MB       |
      |               _ A600   _ A3000T  _ 2.1    _ 68020              |
      |               _ A1000  _ A4000   _ 3.0    _ 68030  Harddisk    |
      |               _ A1200  _ A4000T  _ 3.1    _ 68040  __ MB       |
      |               _ CD32   _ Other   _ Other  _ 68060              |
      |                                                                |
      |               Editor used:                                     |
      |                                                                |
      | COMMENTS    :                                                  |
      |                                                                |
      |                                                                |
      |                                                                |
      |                                                                |
      |                                                                |
      |                                                                |
      |                                                                |
      | By sending in this registration, I agree to abide by the terms |
      | as specified in the HTML_Heaven.guide document.                |
      |                                                                |
      | Signature:                       Date  :                       |
      |                                  Place :                       |
      |                                                                |
      |                                  * Tick the appropriate please |
      |                                                                |
      | ...............................                                |
      +----------------------------------------------------------------+
      | Send to  :  P. Kolenbrander                                    |
      |             Turfveldenstraat 37                                |
      |             NL-5632 XH  EINDHOVEN                              |
      |             The NETHERLANDS                                    |
      |                                                                |
      | INTERNET : paul@serena.iaehv.nl                                |
      +----------------------------------------------------------------+

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