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Text File  |  2000-02-28  |  2KB  |  57 lines
  1.   ________________________________________________________________________
  2.  
  3.  
  4.                         WHDLoad Registration Form
  5.  
  6.   ________________________________________________________________________
  7.  
  8.  
  9.                 Please fill out this form properly and
  10.                 send it together with your payment to:
  11.  
  12.                         Bert Jahn
  13.                         Franz Liszt Strasse 16
  14.                         Rudolstadt
  15.                         07407
  16.                         GERMANY
  17.  
  18.   ________________________________________________________________________
  19.  
  20.  
  21.     EMail
  22.                 --------------------------------------------------------
  23.  
  24.     Name
  25.                 --------------------------------------------------------
  26.  
  27.     Street
  28.                 --------------------------------------------------------
  29.  
  30.     ZIP / Town
  31.                 --------------------------------------------------------
  32.  
  33.     Country
  34.                 --------------------------------------------------------
  35.  
  36.   ________________________________________________________________________
  37.  
  38.                                      _
  39.     I want receive my keyfile via:  |_| email             20 US$ / 30 DM
  40.                                      _
  41.                                     |_| mail              23 US$ / 35 DM
  42.  
  43.     You may also send cash in your local currency, you have to calculate
  44.     the amount yourself by using the actual exchange rate and adding 10%
  45.     to cover bank currency conversion commission.
  46.                                      _
  47.     available only inside Germany:  |_| per Nachnahme              43 DM
  48.  
  49.   ________________________________________________________________________
  50.  
  51.  
  52.       I have read the Licence and the Disclaimer and agree with them.
  53.  
  54.  
  55.       ----------------------       ----------------------------------
  56.              (Date)                             (Sign)
  57.