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Wrap
Text File
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1993-08-22
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3KB
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94 lines
STrip Registration Form
=======================
I want to become a registered STrip user. I will get full access
to all functions of STrip, free updates (except postage and
disks), the ZMODEM modules for up- and downloads, an icon
converter which will convert the original icons (16 colors,
*.ICN) to STrip icons (b/w, *.SIC) and all available icons.
Name : __________________________________________________
(Company) : __________________________________________________
Address : __________________________________________________
__________________________________________________
Country : __________________________________________________
Phone-No. : __________________________________________________
Fax-No. : __________________________________________________
I'm a
[_] student, pensioner, unemployed or similar
and will pay (please no other currencies)
in Germany and Europe: 30 DM
in the USA and elsewhere: 30 US$
[_] working person
and will pay (please no other currencies)
in Germany and Europe: 50 DM
in the USA and elsewhere: 50 US$
I'll pay
[_] in cash (e.g. by registered mail)
[_] by (international) postal money order
[_] by credit card
[_] Visa [_] MasterCard/EuroCard
Credit card number: _______________________________
Expiration date : _______________________________
[_] by EuroCheque (Europe only), only in DM (Deutsche
Mark)
[_] by cheque (Germany only) in German funds (Deutsche Mark)
drawn on a German bank
Currently I'm using STrip version __________.
Where did I get STrip from? ________________________________
_______________________________________________________________
Where did I hear about STrip for the first time?_______________
_______________________________________________________________
________________________ _______________________________
Place, Date Signature
Please fill out this registration form and send it to the
following address:
Lars Kupferschläger
Wolfsgasse 15
52499 Baesweiler
Germany
or fax it to: INTL + 49-241-155724