home *** CD-ROM | disk | FTP | other *** search
/ Amiga Format CD 40 / Amiga Format CD40 (1999-05-11)(Future Publishing)(GB)(Track 1 of 3)[!][issue 1999-06].iso / -seriously_amiga- / misc / homebank / homebank.lha / HomeBank / Registration < prev    next >
Text File  |  1999-03-06  |  2KB  |  57 lines
  1.  
  2.     HomeBank Registration Form
  3.     ==========================
  4.  
  5.     To:
  6.  
  7.     Maxime DOYEN
  8.     A2/12 Rés. Planche Epinoy
  9.     59170 Croix
  10.     France
  11.  
  12.     Registration Informations:
  13.     --------------------------
  14.  
  15.      Name: FirstName FamilyName                
  16.            ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯
  17.    Street: Nr., Street, District               
  18.            ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯
  19.  ZIP,City: PostalCode, City, County            
  20.            ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯
  21.   Country: England            
  22.            ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯
  23.     Phone: +44-000-000-0000   
  24.            ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯
  25.     EMail: user@host.domain                      
  26.            ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯
  27.  
  28.     HomeBank Registration Amount (Only Cash: FF, DM, £, US$):
  29.     ---------------------------------------------------------
  30.     +-+
  31.     | | 100 FF Cash (or eq. DM, £, US$) - Receive via E-Mail
  32.     +-+
  33.     | | 120 FF Cash (or eq. DM, £, US$) - Receive on 3,5" DD via Slow Mail
  34.     +-+
  35.  
  36.   Optional comments:
  37.  
  38.                                                                     
  39.   ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯
  40.                                                                     
  41.   ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯
  42.  
  43.   If you need to convert your datas from other account software, then
  44.   list below its name and where it can be dowloaded. Please also send
  45.   me a sample example via e-mail if possible, or 3"5 disk otherwise.
  46.   I will then see if convertion is possible or not, and add it to the
  47.   converter tool that I will send to you.
  48.                                                                 
  49.   ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯
  50.  
  51.     I have read the copyright details and agree.
  52.  
  53.  
  54.  
  55.    ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯         ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯
  56.             (City, Date)                           (Signature)
  57.