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- Please fill in this registration form, print it and send it to the
- address given above. Registration forms sent per netmail, as file
- attach or as fax cannot be processed!
-
- This regform is intended only for _OUTSIDE_ Germany, because there is a
- special regform for German users!
-
- I strongly suggest to obtain an up-to-date regform first here before
- using this regform to avoid problems.
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- IMAIL Shareware registration form International
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- Return to: Andreas Klein BBS Phone : +49-8161-22447
- Haindlfingerstr. 1 FidoNet Node : 2:2480/47
- 85354 Freising Internet : alpha.fido.de
- Germany, Europe. Site Currency: Deutsche Mark, DM
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- Date .......... ___________
-
- Name........(*) _________________________________________________________
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- Address ....... _________________________________________________________
-
- _________________________________________________________
-
- Phone (voice).. _________________________________________________________
-
- Phone (data)... _________________________________________________________
-
- Networkaddr.(*) _________________________________________________________
-
- Entries marked with (*) are needed for the registration key.
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- Product Qty Price
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- IMAIL ........................................ 65.00 DM... _____ _______
- IMAIL for points.............................. 55.00 DM .. _____ _______
- Currency conversion (if not site currency).... 20.00 DM ........ _______
- Disk-Shipping.... ( ) 3.5" .. ( ) 5.25" ...... 10.00 DM ........ _______
-
- Total : ........................................................ _______
-
- Payment method, tick one:
- ( ) Bank check enclosed.
- ( ) EuroCheque enclosed. (Please write amount in Deutsche Mark).
- ( ) Sent as International Postal Order.
- ( ) Electronic giro transfer
- ( ) only within Germany │ ( ) only from other countries
- │
- Andreas Klein │ Andreas Klein
- Bayerische Hypotheken- und │ Postgiroamt München
- Wechsel-Bank │ BLZ 700 100 80
- BLZ 700 200 01 │ Account-Nr. 1882-65 808
- Account-Nr. 6940367113 │
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- I understand and agree to the terms of the license as outlined in the
- documentation enclosed with the package, that my registration is for the
- purpose of obtaining a license to use IMAIL and that this license does
- not grant me any rights of ownership of the software, or any rights to
- the copyright.
-
- Place, date sign
-
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- ____________________________ _______________________________
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