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- To: Oliver Fromme QPEG/386 v1.3j
- Klingestr. 2
- 38640 Goslar
- GERMANY
-
-
- Single user registration form for QPEG, valid for all future
- versions. Please print this file and send it to the address
- above. Please write clear and legible! Please read the
- file REGISTER.DOC first! Germans please use the German
- registration form instead of this.
-
- Your name: ________________________________________
-
- Address: ________________________________________
-
- ________________________________________
-
- ________________________________________
-
- Country: ________________________________________
-
- Email address
- (optional): ________________________________________
-
- Please tick (see REGISTER.DOC for help):
-
- [] QPEG current shareware version: 5 DM or 5 $US
- [] QPEG single reg. (private licence): 30 DM or 20 $US
- [] QPEG single reg. (commercial lic.): 60 DM or 40 $US
- [] JPEG Unit incl. source (ver. A): 80 DM or 50 $US
- [] JPEG Unit incl. source (ver. B): 150 DM or 90 $US
- [] JPEG Unit incl. source (ver. C): 1200 DM or 700 $US
- [] foreign cheque surcharge: 10 $US
- --------------------
- Sum: ____________________
-
- Disk format: [] 3.5" (1.44 Mb)
- [] 5.25" (1.2 Mb)
-
- Payment: [] cash (enclosed), $US or DM
- [] Eurocheque, DM only
- [] cheque (enclosed), DM only, German bank only
- [] other cheque (enclosed), add surchage of 10 $US
- [] postal money order, DM only
-
- Comments: ___________________________________________________
-
- _____________________________________________________________
-
- _____________________________________________________________
-
- _____________________________________________________________
-