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Text File  |  1992-03-05  |  12KB  |  176 lines
  1.       ┌─────────────────────────────────────────────────────────┐
  2.       │                                                 ▓▓▓▓▓   │
  3.       │ REGISTRATION                                    ▓▓▓▓▓   │
  4.       │ of THE JL's                                     ▓▓▓▓▓   │
  5.       │                                                         │
  6.       │                                  Juergen Lorenz         │
  7.       │                                  Laufgraben 39          │
  8.       │                                  2000 Hamburg 13        │
  9.       │                                  Germany                │
  10.       └─────────────────────────────────────────────────────────┘
  11.       ┌─────────────────────────────────────────────────────────┐
  12.       │ REGISTRATION FORM         for JLUTIL, JLPLOT and JLBANK │
  13.       │                                                         │
  14.       │ GT Net/Node: ___/___                   Date: __-__-____ │
  15.       │ THE JL's SN: _______                                    │
  16.       │ [ ] AFSN   [ ] GTPN    [ ] WAP    [ ] OTHER    [ ] NONE │
  17.       │ GT Version:  _________        [ ] upgrading GT regulary │
  18.       │                                                         │
  19.       │ Name:      ___________________    BirthDate: __-__-____ │
  20.       │ Address:   ___________________                          │
  21.       │ Address:   ___________________                          │
  22.       │ ZIP City:  ____________________________________________ │
  23.       │ Country:   ___________________                          │
  24.       │ Phone (Voice): _______________   (BBS): _______________ │
  25.       │                                                         │
  26.       │ Kind of payment:    [ ] Cash DM/US$  [ ] CreditCard     │
  27.       │                     [ ] EuroCheque   [ ] Money Order    │
  28.       │                     [ ] Remittion                       │
  29.       │                                                         │
  30.       │ Kind of currency:   [ ] DM  [ ] US$                     │
  31.       └─────────────────────────────────────────────────────────┘
  32.    ┌──────────────────────────────────┬──────┬──────┬──────┬────────┐
  33.    │No  Description                   │  DM  │  UK£ │  US$ │SubTotal│
  34.    ├──────────────────────────────────┼──────┼──────┼──────┼────────┤
  35.    │                                  │      │      │      │        │
  36.    │[ ] INITIAL Registration          │100.00│ 38.00│ 67.00│________│
  37.    │                                  │      │      │      │        │
  38.    │[ ] UPGRADE from a prior version  │ 30.00│ 11.50│ 20.00│________│
  39.    │                                  │      │      │      │        │
  40.    │[ ] JLUTIL Package #1             │      │      │      │        │
  41.    │    (1 Initial & 5 UpGrades)      │150.00│ 57.00│100.00│________│
  42.    │                                  │      │      │      │        │
  43.    │[ ] JLUTIL Package #2             │      │      │      │        │
  44.    │    (5 UpGrades)                  │ 90.00│ 34.00│ 60.00│________│
  45.    │                                  │      │      │      │        │
  46.    │[ ] JLUTIL Package #3             │      │      │      │        │
  47.    │    (5 Initial Registrations)     │300.00│113.50│200.00│________│
  48.    │                                  │      │      │      │        │
  49.    │[ ] SINGLE OPTIONS                │      │      │      │        │
  50.    │                                  │      │      │      │        │
  51.    │    [ ] AC 1   [ ] DM 2   [ ] ME 0│      │      │      │        │
  52.    │    [ ] AN 1   [ ] EX 2   [ ] ML 1│      │      │      │        │
  53.    │    [ ] CA 1   [ ] GC 2   [ ] MO 5│      │      │      │        │
  54.    │    [ ] CF 1   [ ] HE 1   [ ] MS 1│      │      │      │        │
  55.    │    [ ] CH 1   [ ] HU 1   [ ] PD 0│      │      │      │        │
  56.    │    [ ] CM 2   [ ] IL 5   [ ] PM 3│      │      │      │        │
  57.    │    [ ] CU 2   [ ] IN 1   [ ] PR 1│      │      │      │        │
  58.    │    [ ] PL 4   [ ] BA 3   [ ] VM 1│      │      │      │        │
  59.    │    [ ] IP 2   [ ] DC 2   [ ] RE 0│      │      │      │        │
  60.    │    [ ] SE 0   [ ] ST 1   [ ] SU 1│      │      │      │        │
  61.    │    [ ] TE 0   [ ] UP 1   [ ] UT 1│      │      │      │        │
  62.    │    [ ] QU 2                      │      │      │      │        │
  63.    │    ─┬─ ┬─ ┬                      │      │      │      │        │
  64.    │     │  │  └─ points you need     │      │      │      │        │
  65.    │     │  └ Name of the option      │      │      │      │        │
  66.    │     └ Indicate with a cross,     │      │      │      │        │
  67.    │       that you want it.          │      │      │      │        │
  68.    │                                  │      │      │      │        │
  69.    │    Points, you need for          │      │      │      │        │
  70.    │                                  │      │      │      │        │
  71.    │    ■ INITIAL:  ________ P.  each.│  5.00│  2.00│  3.50│________│
  72.    │                                  │      │      │      │        │
  73.    │    ■ UPGRADE:  ________ P.  each.│  3.00│  1.20│  2.00│________│
  74.    │                                  │      │      │      │        │
  75.    │[ ] HANDLING (postage,etc)        │      │      │      │        │
  76.    │    (otherwise you will receive   │      │      │      │        │
  77.    │     only the crc. For package #1 │      │      │      │        │
  78.    │     you need eg. 6 handlings)    │      │      │      │        │
  79.    │            for each handling add.│ 30.00│ 11.50│ 20.00│________│
  80.    │                                  │      │      │      │        │
  81.    │[ ] If remitting the money    add.│ 15.00│  6.00│ 10.00│________│
  82.    │                                  │      │      │      │        │
  83.    │[ ] If paying with EuroCheque add.│ 15.00│  6.00│ 10.00│________│
  84.    │                                  │      │      │      │        │
  85.    │[ ]   ... with another cheque add.│ 20.00│  8.00│ 13.50│________│
  86.    │                                  │      │      │      │        │
  87.    │[ ] If paying with CreditCard add.│ 30.00│ 11.50│ 20.00│________│
  88.    │                                  └──────┴──────┴──────┴────────┤
  89.    │                                                 TOTAL:         │
  90.    │    ___________________________                         ════════╡
  91.    │             Signature                                          │
  92.    └────────────────────────────────────────────────────────────────┘
  93.  
  94. ----AFTER READING, YOU CAN KILL THE TEXT YOU DON'T NEED FROM HERE ON-------
  95.  
  96.    Read the following informations, if you want to pay by credit card,
  97.    with a cheque eg. an EuroCheque or if you want to remit the money
  98.    to my bankaccount.
  99.  
  100.    NOTICE:  The best, cheapest and fastest way to pay me is to go to
  101.             your bank and remit the money or get a cheque in DM of a
  102.             german bank and send this cheque to me via mail.
  103.  
  104.  
  105.   ┌───────────────────────────────────────────────────────────────────────┐
  106.   │If paying by CREDIT CARD    (Access, Visa, Eurocard and MasterCard)    │
  107.   │then take notice of the following points:                              │
  108.   │                                                                       │
  109.   │  ■ we are adding 12.67% to the Total amount for the CreditCard        │
  110.   │    Company and our additional costs or a minimum of 30.00 DM.         │
  111.   │                                                                       │
  112.   │  ■ we are charging your CreditCard in Sterling using a exchanging     │
  113.   │    rate of (1 DM = 2.65 £).                                           │
  114.   │                                                                       │
  115.   ├───────────────────────────────────────────────────────────────────────┤
  116.   │If paying by credit card    (Access, Visa, Eurocard and MasterCard)    │
  117.   │then please enter:                                                     │
  118.   │                                                                       │
  119.   │■ Name shown on card :                                                 │
  120.   │■ Address of holder  :                                                 │
  121.   │                     :                                                 │
  122.   │                     :                                                 │
  123.   │                     :                                                 │
  124.   │                     :                                                 │
  125.   │■ Card type          : ACCESS - VISA - EC - MC (indicate)              │
  126.   │■ Card Number        : ______ - ______ - ______ - ______               │
  127.   │■ Expiry Date        : ______  / ______                                │
  128.   │                                                                       │
  129.   │Please debit my credit card as above, signed: ________________________ │
  130.   └───────────────────────────────────────────────────────────────────────┘
  131.  
  132.   ┌───────────────────────────────────────────────────────────────────────┐
  133.   │If paying with a CHEQUE, then take notice of the following points:     │
  134.   │                                                                       │
  135.   │  ■ you must enter the amount in DM                                    │
  136.   │  ■ if your bank is not in Germany, you have to add  5.67% to the      │
  137.   │    Total amount for our additional costs or a minimum of 20.00 DM.    │
  138.   └───────────────────────────────────────────────────────────────────────┘
  139.  
  140.   ┌───────────────────────────────────────────────────────────────────────┐
  141.   │If paying with an EUROCHEQUE, then take notice of the following points:│
  142.   │                                                                       │
  143.   │  ■ you must enter the amount in DM                                    │
  144.   │  ■ you must enter the CardNumber at the backside of the cheque        │
  145.   │  ■ if your bank is not in Germany, you have to add  5.67% to the      │
  146.   │    Total amount for our additional costs or a minimum of 15.00 DM.    │
  147.   │                                                                       │
  148.   ├───────────────────────────────────────────────────────────────────────┤
  149.   │If paying with EuroCheque, then please enter:                          │
  150.   │                                                                       │
  151.   │■ Name shown on EuroCheque Card :                                      │
  152.   │■ Card Number                   : __________________________           │
  153.   └───────────────────────────────────────────────────────────────────────┘
  154.  
  155.   ┌───────────────────────────────────────────────────────────────────────┐
  156.   │If you want to REMIT the money to my bankaccount, then take notice of  │
  157.   │the following points:                                                  │
  158.   │                                                                       │
  159.   │  ■ you must enter the amount in DM                                    │
  160.   │  ■ you must enter, that you are paying the costs of this remittion.   │
  161.   │  ■ if your banque is outside of Germany, you have to add  15.00 DM    │
  162.   │    to the Total amount for our additional costs.                      │
  163.   │  ■ here are my details:                                               │
  164.   │                                                                       │
  165.   │                   Name:    Juergen Lorenz                             │
  166.   │         Account Number:    75127700                                   │
  167.   │               SortCode:    20110022                                   │
  168.   │               BankName:    Postsparkassenamt Hamburg                  │
  169.   │               Location:    2000 Hamburg (Germany)                     │
  170.   └───────────────────────────────────────────────────────────────────────┘
  171.  
  172.  
  173. ------------AFTER READING, YOU CAN KILL THE TEXT YOU DON'T NEED------------
  174.  
  175.  
  176.