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- +---------------------------------+
- | Registration Form for CrackStop |
- +---------------------------------+
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-
- Name: _______________________________________________________________
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- Company (optional): _________________________________________________
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- Address: ____________________________________________________________
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- City,State,Zip: _____________________________________________________
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- Country (blank if Germany): _________________________________________
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- Where did you get CrackStop from?: __________________________________
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- What version of CrackStop do you use?: ______________________________
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- Date: __________________ Signature: ______________________________
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- ----------( Version )---------
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- ( ) Personalised Registration DM 40,-- [please don't use (c) by ...]
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- Text (up to 4 lines): ______________________________________________
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- ____________________________________________________________________
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- No text wanted at all: ( ) - Only [ CrackStop v1.02... ]
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- ( ) Please add DM 10,-- extra for outside Europe!
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- ---------( Payment )---------
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- ( ) I have enclosed an Eurocheque for registering CrackStop. Checks must
- be drawn in DM! Please use non negotiable checks!
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- ( ) I have transfered the money (ONLY in DM) to your account:
- >>Stefan Esser, Kto: 1 031 143 652, BLZ 370 501 98, Stadtsparkasse Köln
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- ( ) I have enclosed the money in bills at my own risk! Use a registered
- letter if you have doubts! Cash in DM, US$, SFr. & Pounds is accepted.
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- I can not accept credit cards! Do not send coins!
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- Please send to
- ~~~~~~~~~~~~~~
- Stefan Esser
- Ober Buschweg 9a
- D 50999 Köln-Sürth
- Germany
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- Thank you for registering CrackStop! Origin 1.02.07.12.97
-