USE THIS FORM ONLY IF YOU DO NOT USE KAGI PAYMENT PROCESSING SERVICE
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                      R E G I S T R A T I O N  -  F O R M
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            Registration for RoundClock 2.22  (or any newer release)



                                                   Date:   __________

              Frank Kintrup
              Foelsener Weg 21

              D-33100 Paderborn
              Germany
                                      


      Name:      ____________________________________________________

      Street:    ____________________________________________________

      City:      ____________________________________________________

      Country:   ____________________________________________________

      Phone:     ______________________ Fax: ________________________

      e-mail:    ____________________________________________________ 


      Name to register for (if different from name above):

      _______________________________________________________________



      Yes, I want to register RoundClock and receive a registration code:

       ___  RoundClock registration codes (DM 15 or US$10 each)   .......
            For discounts on more than 10 licenses see help file.
            
            
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                                                                   Total
       ( ) Transfer funds to bank:
             Sparkasse Paderborn, D-33100 Paderborn, Germany
             Bank number:    472 501 01
             Account number: 161 063 04
             Account owner:  Frank Kintrup
       ( ) Make the check payable to Frank Kintrup (please add
             equiv. of US$5 for checks not drawn in DM)
       ( ) Send cash via postal mail  (please use registered mail 
             and wrap the money in thick paper).
             WARNING: You are sending cash on your own risk!

      Where did you get RoundClock from?

      ____________________________________________________________________

      Please note additional comments and critics on the back page.
            
            
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