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- +--------------------------------+
- | Order Form for ROSE's HackStop |#
- +--------------------------------+#
- ##################################
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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 HackStop from?: ___________________________________
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- What version of HackStop do you use?: _______________________________
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- Date: __________________ Signature: ______________________________
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- ----------( Version )---------
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- ( ) Normal Registration DM 30,--
- Personalised Text: "Registered version of HS!"
- or
- ( ) Personalised Registration DM 50,-- [please don't use (c) by ...]
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- Text (up to 4 lines): ______________________________________________
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- ____________________________________________________________________
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- Personalised versions are a little bit harder to attack than the
- normal versions. As a bonus all HackStop'ed programs carries your
- personalised text inside! No text wanted at all: ( )
-
- ( ) Please add DM 10,-- extra for outside Europe!
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- Disk Size: ( ) 3.5" ( ) 5.25"
-
- ---------( Payment )---------
-
- ( ) I have enclosed an Eurocheque for registering HackStop. Checks must
- be drawn in DM! Please use non negotiable checks!
-
- ( ) I have transfered the money (ONLY in DM) to your account:
- >> Ralph Roth, Kto: 131 577, BLZ 642 500 60, Kreissparkasse Rottweil
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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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- We can not accept credit cards! Do not send coins!
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- Please send to or FAX to
- ~~~~~~~~~~~~~~ ~~~~~~~~~
- ROSE Softwareentwicklung ROSE Softwareentwicklung
- Dipl.-Ing. (FH) Ralph Roth Dipl.-Ing. (FH) Ralph Roth
- Finkenweg 24
- D 78658 Zimmern FAX: +49.741-32647
- Germany CET: 08.00 - 21.00!
-
- Thank you for registering HackStop! Origin: 1.17ß4 (LB 08.06.97)
-