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/ Club Amiga de Montreal - CAM / CAM_CD_1.iso / files / 646a.lha / LhA_v1.32 / Orderform.pp / Orderform
Text File  |  1992-06-25  |  4KB  |  96 lines

  1.                    Registration/order form for the LhA package
  2.                   ---------------------------------------------
  3.  
  4.      Name:    ____________________________________________________________
  5.  
  6.      Address: ____________________________________________________________
  7.  
  8.               ____________________________________________________________
  9.  
  10.               ____________________________________________________________
  11.  
  12.      Country: __________________
  13.  
  14.      EMail:   ____________________________________________________________
  15.  
  16.               ____________________________________________________________
  17.  
  18.               ____________________________________________________________
  19.  
  20.      KickStart version: _____  CPU: 680____
  21.  
  22.      Comments (use additional sheets if necessary) _______________________
  23.  
  24.          _________________________________________________________________
  25.  
  26.          _________________________________________________________________
  27.  
  28.          _________________________________________________________________
  29.  
  30.      I am sending my contribution of: (Please circle or delete as
  31.      appropriate).
  32.  
  33.      SEK  100 in bills/PMO/Giro for the full LhA registration including two
  34.               mailings. For foreigh Giro transfers, read the note below.
  35.  
  36.      US$   20 in dollar BILLS only. For the full LhA registration including
  37.               two mailings.
  38.  
  39.       25 IRCs for the full LhA registration including two mailings.
  40.  
  41.          ____ because I believe in supporting Shareware!
  42.  
  43.      Nothing! just to let you know that I have tried the program
  44.               and have some comments.  Sorry I can't give any
  45.               donation at this point.
  46.  
  47.      Total donation: SEK ____  /  $ ____  / ____ IRC'S
  48.  
  49.  
  50.  
  51.      I have read the license and distribution details, and agree with
  52.      them.
  53.  
  54.  
  55.  
  56.      _____________________ _____________________________________________
  57.            (Date)                         (Signature)
  58.  
  59. ------------------------------> CUT HERE <---------------------------------
  60.  
  61. Please send this form and any postal money order, IRCs or bills to one of
  62. the registration sites (if you do not live in Germany or Australia, please
  63. register directly to me in Sweden):
  64.  
  65. +--------------------+--------------------+---------------------+
  66. |SWEDEN:             | GERMANY:           | AUSTRALIA:          |
  67. +--------------------+--------------------+---------------------+
  68. |Swedish Crowns (SEK)| Deutsche Mark (DM) | Australian          |
  69. |US Dollars (US$)    |                    | dollars             |
  70. |                    |                    |                     |
  71. |Stefan Boberg       |                    |                     |
  72. |Rydsv. 242 A:25     |                    |                     |
  73. |S-58251 Linköping   |                    |                     |
  74. |SWEDEN (EUROPE)     |                    |                     |
  75. |                    |                    |                     |
  76. +--------------------+--------------------+---------------------+
  77.  
  78. Please, only send Postal Money orders in SEK or SEK / US$ Bills, since I
  79. cannot cash foreign checks or money without having to pay substantial fees
  80. to the bank. If you cannot do this, and still want to register, then send
  81. US$20 in bills, or 20 IRCs. EuroCheques can also be accepted, but they must
  82. be in SEK and the benificiary should be `Stefan Boberg'.
  83.  
  84. Swedish residents can use PostGiro 629 22 84-4. Foreign transfers via
  85. PostGiro cost _me_ 25SEK, so add 25SEK to the fee if you pay this way
  86. (= 125 SEK).
  87.  
  88.       (As of this writing (May 1991), one US Dollar is ~= 5.80 SEK)
  89.  
  90.                    Please allow 2-8 weeks for delivery.
  91.  
  92. If you send the registration form via EMail, and want to know if I have
  93. received the money, send me another EMail two weeks after the first.
  94.  
  95. ==========================================================================
  96.