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REGISTER.NL
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1995-06-12
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4KB
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108 lines
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IceSoft Utilities Dutch Registration Form
------------------------------------------------------------------------------
The information required for the registration key and where the key will
be sent to.
BBS Information:
----------------
Sysop Name : [__________________________________________________]
BBS Name : [__________________________________________________]
BBS Software: [__________________________________________________]
Computer : [__________________________________________________]
BBS Phone : (_____)_____-________
Address Details:
----------------
Real Name : [__________________________________________________]
Address : [__________________________________________________]
City : [__________________________________________________]
Prov/State : [__________________] Country : [___________________]
Zip Code : [_________] Voice Phone : (_____)_____-________
Package Price Amount
---------------------------------------------------------------------
IceChat - Deluxe SplitScreen Chatter HFL 30/$15 [ ]
IceEdit - Deluxe FullScreen Msg Editor HFL 30/$15 [ ]
IceBank - Deluxe Timebank System HFL 30/$15 [ ]
IceNote - Note To All Users Door HFL 25/$12 [ ]
IceUser - RA Online User Editor HFL 25/$12 [ ]
Shipping Costs Price Amount
---------------------------------------------------------------------
Send Key via Postage (Disk 3 1/2" Only) HFL 8/$5 [ ]
Send Key via Crash Netmail HFL 3/$2 [ ]
I will pick up my key HFL 0/$0 [ ]
---------------------------------------------------------------------
TOTAL COST (PACKAGE AND SHIPPING): ______
If you want your key by "polling" - Fidonet Node number Required
----------------------------------------------------------------
Node number : [_____] : [_____] / [_____] . [_____]
Session pwd : [________]
My Fidonet adress are 2:512/67 (USRobotics Courier DS V.everything)
2:512/367 (Teles S0-16 ISDN 64 kb/s)
These nodes are available for filerequests and mail.
Please Check One : [_] I will poll for my key from Slash BBS
[_] I would like my key to be crashed to me
If you want your key as user of Slash BBS
-----------------------------------------
Account : [___________________________________]
Password : [_______________]
How would you like to pay for your software?
--------------------------------------------
[ ] EuroCheque (Payable to - Jeroen van de Leur)
[ ] Cash
[ ] Bank Transfer (ABN/AMRO: 48.51.74.014 - Jeroen vd Leur - Venray NL)
[ ] Giro Transfer (Postbank: 67.43.294 - Jeroen vd Leur - Venray NL)
Comments/Bug Reports : _______________________________________________
______________________________________________________________________
______________________________________________________________________
Upon receipt of the registration key, I hereby promise that I will
be the only one using this key. I will not give it out to anybody,
no matter how much they beg and cry, it is for my use only.
I understand that if I give this key out, or it is removed from my
possession, I am in violation of this agreement. I also understand
that upon violation of this agreement, legal action may be taken
against myself.
______________________________ ___/___/_____
(Your signature, in ink) (date)
Send your registration to : IceSoft Registration
Jeroen van de Leur
Prinses Irenestraat 18
NL-5802 BS VENRAY
The Netherlands