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Text File  |  1997-03-03  |  2KB  |  54 lines

  1. Shareware Registration Form
  2. ===========================
  3.  
  4. I want to register for the below selected Shareware products to get the full
  5. versions and agree with the disclaimer, copyright, usage and distribution
  6. conditions stated in the documentation.
  7.  
  8. I send this form to:                    My address is
  9. --------------------                    -------------
  10.  
  11.    Helmut Hoffmann                      Name:
  12.  
  13.    Rubensstrasse 4                      Street:
  14.  
  15.    D-41063 Moenchengladbach             City:
  16.                                         State / Zip-Code:
  17.    Germany
  18.                                         Country:
  19.                     Fax:              Phone:
  20.                                         EMail:
  21.                                   SFr  |
  22. Payment:                          Aus$ |     |     |     | DKr |     |
  23.                                   Can$ |     | IR£ | FMk | NKr |     |
  24.                                    DM  | US$ | GB£ | FFr | SKr | HFl |  LIT
  25.   Complete package of PhotoAlbum
  26.     and CyberShow Professional: O  50  |  35 |  25 | 180 | 250 |  60 | 60000
  27.  
  28.   in addition for ImageFXMod.:  O  10  |   7 |   5 |  40 |  50 |  10 | 10000
  29.   in addition for XiPaintMod.:  O  10  |   7 |   5 |  40 |  50 |  10 | 10000
  30.   in addition for UniversalGIO: O  10  |   7 |   5 |  40 |  50 |  10 | 10000
  31.   (add-on prices only valid in conjunction with complete package order!)
  32.  
  33.   Total price:              ___DM,C$,A$ ___US$  __£  ___F ___Kr __HFl _____L
  34.  
  35.   O I included banknotes or a cheque (e.g. EuroCheque or bank order cheque)
  36.   O I payed with international postal money order cheque
  37.  
  38.  
  39. Location/Date:__________________    Signature:________________________
  40. -> Please do not forget your signature, as otherwise your order can be
  41.    delayed until you have sent a signed registration form! <-
  42.  
  43. This form was taken from PhotoAlbum demo version 3.0 which was from
  44. O CD-ROM "___________"     O AmiNet                     O PD-Disk "________"
  45. O a friend                 O a BBS or Mailbox           O __________________
  46.  
  47. System configuration: Amiga:_____   or Draco:_____
  48.   CPU: 680__ with ___MHz            ChipMem: ___MByte  FastMem: ___MByte
  49.   Graphic board: ________________   Framegrabber: _________________________
  50.   Motion video board: ___________   Scanner: ______________________________
  51. Amiga-OS: __.__   CyberGraphX: ____ (optional)  Picasso 96: ____ (optional)
  52. Painting and Image Processing programs:
  53.  
  54.