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GECHO2RA.REG
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1992-03-19
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┌────────────────────────────────────────────────────────────────┐
├─ GEcho2RA Registration Form ───────────────────────────────────┤
└────────────────────────────────────────────────────────────────┘
THANKS! for registering GEcho2RA. I believe you will not regret your
choice... Registering is for this, and any (if any) future versions of
GEcho2RA.
Dutch people can register by transfering 20 guilders on my Postbank
giro-account number 5145504 or CDK-bank account number 222140607 t.n.v.
J.A.J. Siemons in Breda.
German people can register by transfering DM 20,-- to Peter Hampf
(adress below) on Volksbank Vechta, Kto.-Nr. 126758200, BLZ 28064179
USA people can register by sending a check or money order for US
$15.00 to Dave Overton, 221 Garden Hwy, Yuba City, CA 95991
Users from any other country, must send $15 or a equivalent amount in a
freely convertable currency. You can send money with a EuroCheque, with
an international money order or cash in a registered letter, or transfer
it to one of the above accounts. No personal checks please, the costs
are higher than the registration fee itselve.
Your KEY will be transferred to you by CRASH netmail, upon reciept
of your money. If you do not have a nodenumber in one of the nets
that the registrationnode is a member of, the key will be send trough
snailmail.
Now fill in this questions please:
Your name [.............................................]
Your systemname [.............................................]
Name to where [.............................................]
software must
be registered
to.
Address [.............................................]
ZIP-Code [.............................................]
City, State [.............................................]
Country [.............................................]
Home Phone NR [.............................................]
Data Phone NR [.............................................]
Node Number [.............................................]
I have payed the registration fee:
[ ] By transfering the money to Giro-Account 5145504 tnv J.A.J. Siemons
[ ] By Transfering the money to Bank-Account 222140607 tnv J.A.J.
Siemons.
[ ] By transfering the money to Volksbank Vechta, Kto.-Nr. 126758200,
BLZ 28064179, Peter Hampf
[ ] By writing a check to Dave Overton, 221 Garden Hwy, Yuba City,
CA 95991
[ ] With an eurocheque
[ ] With an international money-order
[ ] Cash
Please send this form to:
Hans Siemons, Prime Productions.
Crogtdijk 1,
4815 AD, Breda
The Netherlands.
Or netmail it to: 2:512/149 or 9:77/1000
For german registrations:
Peter Hampf
Graf von Galen Strasse 27
2848 Vechta
Germany
Or netmail it to: 2:240/11
For USA registrations:
Dave Overton
221 Garden Hwy
Yuba City, CA 95991
USA
Or netmail it to: 1:203/988 or 50:5010/988