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REGISTER.FRM
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Text File
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1992-07-20
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13KB
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185 lines
┌─────────────────────────────────────────────────────────┐
│ REGISTRATION CENTERS │
├──────┬────────────────┬───────┬─────────────────────────┤
│CREDIT│ │ │ │
│CARDS │ FAX │GT NODE│ADDRESS │
├──────┼────────────────┼───────┼─────────────────────────┤
│ ALL │ NO │803/000│Juergen Lorenz │
│ │ │ │Laufgraben 39 │
│ │ │ │2000 Hamburg 13 │
│ │ │ │GERMANY │
│ │ │ │ │
│ NO │001 301-808-1099│033/000│Raymond Wood │
│ │ │ │10829 Golf Course Terrace│
│ │ │ │Mitchellville │
│ │ │ │Maryland 20721-2367 │
│ │ │ │USA │
│ │ │ │ │
│ NO │ NO │003/010│Don Kelley │
│ │ │ │9407 Arch Hill Circle │
│ │ │ │Austin, TX 78750 │
│ │ │ │USA │
│ │ │ │ │
│ NO │ NO │080/003│George Omoregie │
│ │ │ │P.O. Box 305 │
│ │ │ │Independane, MO 64051 │
│ │ │ │USA │
│ │ │ │ │
│ ALL │0044 634-687178 │050/001│Terry Dansey │
│ │ │ │Readycrest Ltd. │
│ │ │ │P.O. Box 75 │
│ │ │ │Chatham │
│ │ │ │Kent ME5 9DL │
│ │ │ │UK │
└──────┴────────────────┴───────┴─────────────────────────┘
┌─────────────────────────────────────────────────────────────────────┐
│ ALL Creditcards means ACCESS, MASTERCARD, VISA, SWITCH AND EUROCARD.│
└─────────────────────────────────────────────────────────────────────┘
┌─────────────────────────────────────────────────────────┐
│ ▓▓▓▓▓ │
│ REGISTRATION ▓▓▓▓▓ │
│ of THE JL's ▓▓▓▓▓ │
│ │
│ Juergen Lorenz │
│ Laufgraben 39 │
│ 2000 Hamburg 13 │
│ Germany │
└─────────────────────────────────────────────────────────┘
┌─────────────────────────────────────────────────────────┐
│ REGISTRATION FORM for JLUTIL, JLPLOT and JLBANK │
│ │
│ GT Net/Node: ___/___ Date: __-__-____ │
│ THE JL's SN: _______ │
│ [ ] AFSN [ ] GTPN [ ] WAP [ ] OTHER [ ] NONE │
│ GT Version: _________ [ ] upgrading GT regulary │
│ │
│ Name: ___________________ BirthDate: __-__-____ │
│ Address: ___________________ │
│ Address: ___________________ │
│ ZIP City: ____________________________________________ │
│ Country: ___________________ │
│ Phone (Voice): _______________ (BBS): _______________ │
│ │
│ Kind of payment: [ ] Cash DM/US$ [ ] CreditCard │
│ [ ] EuroCheque [ ] Money Order │
│ [ ] Remittance │
│ │
│ Kind of currency: [ ] DM [ ] US$ [ ] UK£ │
└─────────────────────────────────────────────────────────┘
┌─────────────────────────────────────────────────────────┐
│ PAY IN THE CURRENCY OF THE RECEIVER │
└─────────────────────────────────────────────────────────┘
┌──────────────────────────────────┬──────┬──────┬──────┬────────┐
│No Description │ DM │ UK£ │ US$ │SubTotal│
├──────────────────────────────────┼──────┼──────┼──────┼────────┤
│ │ │ │ │ │
│[ ] INITIAL Registration │ 50.00│ 20.00│ 34.00│________│
│ │ │ │ │ │
│[ ] UPGRADE from a prior version │ 15.00│ 6.00│ 10.00│________│
│ │ │ │ │ │
│[ ] JLUTIL Package #1 │ │ │ │ │
│ (1 Initial & 5 UpGrades) │ 80.00│ 32.00│ 54.00│________│
│ │ │ │ │ │
│[ ] JLUTIL Package #2 │ │ │ │ │
│ (5 UpGrades) │ 45.00│ 18.00│ 30.00│________│
│ │ │ │ │ │
│[ ] JLUTIL Package #3 │ │ │ │ │
│ (5 Initial Registrations) │150.00│ 60.00│102.00│________│
│ │ │ │ │ │
│[ ] JLUTIL PROFESSIONAL │ │ │ │ │
│ (1 Initial & ALL Upgrades) │100.00│ 40.00│ 67.00│________│
│ │ │ │ │ │
│[ ] HANDLING (postage,etc) │ │ │ │ │
│ (otherwise you will receive │ │ │ │ │
│ only the crc. For package #1 │ │ │ │ │
│ you need eg. 6 handlings) │ │ │ │ │
│ for each handling add.│ 30.00│ 12.00│ 20.00│________│
│ │ │ │ │ │
│[ ] If paying with EuroCheque add.│ 15.00│ 6.00│ 10.00│________│
│[ ] If paying with CreditCard add.│ 30.00│ 12.00│ 20.00│________│
│ │ │ │ │ │
│[ ] If register with Juergen add.│ 0.00│ 0.00│ 0.00│________│
│[ ] If register with Raymond add.│ 5.00│ 2.00│ 3.50│________│
│[ ] If register with Don add.│ 5.00│ 2.00│ 3.50│________│
│[ ] If register with George add.│ 5.00│ 2.00│ 3.50│________│
│[ ] If register with Terry add.│ 5.00│ 2.00│ 3.50│________│
│ └──────┴──────┴──────┴────────┤
│ TOTAL: │
│ ___________________________ ════════╡
│ Signature │
└────────────────────────────────────────────────────────────────┘
----AFTER READING, YOU CAN KILL THE TEXT YOU DON'T NEED FROM HERE ON-------
Read the following informations, if you want to pay by credit card,
with a cheque eg. an EuroCheque or if you want to remit the money
to my bankaccount.
NOTICE: The best, cheapest and fastest way to pay me is to go to
your bank and remit the money or get a cheque in DM of a
german bank and send this cheque to me via mail or to
send a cheque in the currency of the receiver to Terry,
Raymond, Don or George.
┌───────────────────────────────────────────────────────────────────────┐
│If paying by CREDIT CARD (Access, Visa, Eurocard and MasterCard) │
│then take notice of the following points: │
│ │
│ ■ we are charging your CreditCard in Sterling using a exchanging │
│ rate of (1 DM = 2.65 £). │
│ ■ you must send your registration to Juergen Lorenz or Terry Dansey.│
├───────────────────────────────────────────────────────────────────────┤
│If paying by credit card (Access, Visa, Eurocard and MasterCard) │
│then please enter: │
│ │
│■ Name shown on card : │
│■ Address of holder : │
│ : │
│ : │
│ : │
│ : │
│■ Card type : ACCESS - VISA - EC - MC (indicate) │
│■ Card Number : ______ - ______ - ______ - ______ │
│■ Expiry Date : ______ / ______ │
│ │
│Please debit my credit card as above, signed: ________________________ │
└───────────────────────────────────────────────────────────────────────┘
┌───────────────────────────────────────────────────────────────────────┐
│If paying with a CHEQUE, then take notice of the following points: │
│ │
│ ■ you must enter the amount in the currency of the receiver (to │
│ Juergen in DM, to Terry in £, to Raymond, Don or George in US$. │
└───────────────────────────────────────────────────────────────────────┘
┌───────────────────────────────────────────────────────────────────────┐
│If paying with an EUROCHEQUE, then take notice of the following points:│
│ │
│ ■ you must enter the amount in the currency of the receiver (to │
│ Juergen in DM, to Terry in £, to Raymond, Don or George in US$. │
│ ■ you must enter the CardNumber at the backside of the cheque │
├───────────────────────────────────────────────────────────────────────┤
│If paying with EuroCheque, then please enter: │
│ │
│■ Name shown on EuroCheque Card : │
│■ Card Number : __________________________ │
└───────────────────────────────────────────────────────────────────────┘
┌───────────────────────────────────────────────────────────────────────┐
│If you want to REMIT the money to my bankaccount, then take notice of │
│the following points: │
│ │
│ ■ you must enter the amount in the currency of the receiver (to │
│ Juergen in DM, to Terry in £, to Raymond and Don in US$. │
│ ■ you must enter, that you are paying the costs of this remittion. │
│ ■ here are my details: │
│ │
│ Name: Juergen Lorenz │
│ Account Number: 75127700 │
│ SortCode: 20110022 │
│ BankName: Postsparkassenamt Hamburg │
│ Location: 2000 Hamburg (Germany) │
└───────────────────────────────────────────────────────────────────────┘
------------AFTER READING, YOU CAN KILL THE TEXT YOU DON'T NEED------------