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READER.REG
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1996-05-01
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2KB
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70 lines
REGISTRATION FORM
-----------------
Registration fee for THE READER V4.30
Name : ______________________________________________________
Street : ______________________________________________________
City : ______________________________________________________
Country : ______________________________________________________
BBS-Program: ___________________________________________________
Sysop's Name as it appears in READER.CFG :
______________________________________________________
Please mail this form, along with:
US $10 OR Canada $13 OR DM 15 OR Australian $15 OR SEK 80
OR HFL 20 to one of the RegSites listed in REGSITES.TXT.
Do you want to get the Register-Code via:
(__) postmail (please add money for stamps) or
(__) fido-netmail (Zone:Net/Node.Point ___ : ___ / ___ . ___ ) ?
Method of payment [Zahlungsart] :
(__) Cash [Bargeld]
(__) Check [Scheck]
(__) Bank Transfer [Per Überweisung]
* Name : Florian Stupperich
Bank : VEREINS- UND WESTBANK
Konto : 474031
BLZ : 200 300 00
(__) Credit Card
* Credit Card registrations are only accepted at the Australian
Registration site and will be charged in Australian dollars.
Actual amount paid will vary according to exchange rates.
Credit Card : Mastercard / Visa Card / Bankcard (Aust. only)
Name on Card :
Number :
Expiry Date :
Program Suggestions/Comments : _________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________