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RegForm.txt
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1999-08-03
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Registerform for BlackIRC 1.1
=============================
With this form, you order the latest V1.x version of BlackIRC
for 30 DM/15 EURO/20 USD.
The registered version of BlackIRC has a lot of advantages
(see doc).
Please make a cross for your system-components:
AMIGA: oA1200 oA4000(T) oA2000/A500/A600 oA3000 o_________
CPU: o68020 o68030 o68040 o68060 o603e o604e Mhz: ______
RAM: o2MB o4MB o6MB o8MB o________
Suggestions for future versions:
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
What are you using BlackIRC for ?
____________________________________________________
Where did you get from/hear of BlackIRC:
____________________________________________________
Which pay-method would you like to use ?
o Eurocheque
(please NO money-orders and only in DEM)
o Cash
(notes only!)
o Creditcard
o VISA
o EUROCARD
o MASTERCARD
Card-number: ___________________
Expiration date: ___________________
How do you want to get the key ?
o Email (uuencoded)
o Mail (on disk)
Your adress:
Surname: ______________________________________
Name: ______________________________________
Street: ______________________________________
Postcode+Town:______________________________________
Country: ______________________________________
Email: ______________________________________
Phone: ______________________________________
Thank you for your support. You save future developments for Amiga.
Your signature:
_____________________________________
Please send this form to:
Innovative
c/o Felix Schwarz
Am Gründla 3
D - 91074 Herzogenaurach
GERMANY