home *** CD-ROM | disk | FTP | other *** search
-
- Registration for the Amiga Summagraphic-Driver
- ----------------------------------------------
-
- Name: ______________________________________________________________
-
- Address: ______________________________________________________________
-
- ______________________________________________________________
-
- Country: __________________ Phone: +____-(__)________-_________
-
- EMail: ______________________________________________________________
-
- ______________________________________________________________
-
- Computer Configuration (not so necessary but nice to know):
-
- Amiga _________ RAM: ______ MB HD: ______ MB
-
- CPU: o 68000 o 68010 o 68020 o 68030 o 68040
-
- o 68060 o other(?): _______ o FPU: ____ Mhz
-
- CPU has _____ Mhz Kickstart/WB-Version: _____________
-
- o I am using the Summagraphic-Driver together with a Multi-IO
-
- Board. (Type/Manufactor: __________________________________)
-
- The data provided here will be stored and processed electronically.
- It will not be given to anyone not involved in the production of the
- Summagraphic-Driver !
-
- I am sending my registration fee in:
- o Dutch Guilder (20.00 DM)
- o US Dollar (US$ 10.00)
-
- The way I am sending it:
- o cash (Dutch Guilder or US $ only)
- o EuroCheque
- o postal money order
- o wire bank transfer
- o any other cheque, bank draft
- or money order. To cover any
- costs I add 10.00 DM (US$ 5.00)
-
- That gives a TOTAL AMOUNT of: ___________________
-
- Bank-Address : Dutch people only Giro Account 5686868
-
- Don`t forget to send the Registration form to:
-
- Joop van de Wege
- Zoomweg 7
- 6705 DM Wageningen
- The Netherlands
-
- I have read the copyright and warranty stuff and agree with them.
-
-
- _____________________ ____________________________________________
- (Date) (Signature)
-
-