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RegisterForm
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1998-05-31
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## ## ####### ####### ## (RFV 1.50)
## ## ## ## ##
#### ####### ###### ##
## ## ##
## ####### ####### ## Please send me a keyfile for XTrace !
-----------------------------------------------------------------------
Name : _________________________________________________________
Address : _________________________________________________________
_________________________________________________________
Country : _________________________________________________________
Nearest big
city : _________________________________________________________
Phone : _________________________________________________________
e-mail : _________________________________________________________
Hardware : AMIGA : [ ] A500 [ ] A600 [ ] A1000 [ ] A1200
[ ] A2000 [ ] A2500 [ ] A3000 [ ] A4000
[ ] CD 32 [ ] Draco [ ] ________________
CPU : [ ] MC68000 [ ] MC68010 [ ] MC68020 [ ] MC68030
[ ] MC68040 [ ] MC68060 [ ] PPC603 [ ] PPC604
FPU : [ ] none [ ] M 68881 [ ] M 68882 [ ] integrated
RAM : ____ Mb Chip / ____ Mb Fast
OS : _____ WB : _____
Gfx : [ ] Orginal [ ] ECS [ ] AGA [ ] Gfxboard
Gfxboard : ________________ RTG system : _______________
Payment by: [ ] Eurocheque / Cheque of DM 30.00
- don't forget to write your card number on the back of
the cheque
- make sure, that non-Eurocheques are drawn on a
german bank !
[ ] Money transfer of DM 30.00 to this account:
- bank: Sparkasse Leipzig, Leipzig, Germany
- bank code: 860 555 92
- account number: 1823660556
[ ] Cash [ ] UK£ 15.00 (UK pound)
[ ] US$ 25.00 (US dollar)
[ ] DM 30.00 (Deutsche Mark)
Delivery: [ ] by mail on a branded 3.5" disk
[ ] by e-mail, UU/MIME (please select) encoded
I have read the distribution conditions and accept these. I'll install
the keyfile only on my Amiga and don't copy it to thirds.
____________________ _______________________________________
date signature
Thank you for registering XTrace ! I will send you your keyfile as
soon as I have received the register fee.
-----------------------------------------------------------------------
Ronny Schütz e-mail: Ronny.Schuetz@gmx.de _or_
Lene-Voigt-Strasse 8/304 rschuet@imn.htwk-leipzig.de
04289 Leipzig WWW : www.imn.htwk-leipzig.de/~rschuet
Germany