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REGISTER.FRM
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Text File
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1994-05-11
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9KB
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136 lines
░ ┌────────────────────────────────────────────────────────────────┐
░ │ Please kill the parts marked with a ░, you don't need. │
░ └────────────────────────────────────────────────────────────────┘
░ ┌────────────────────────────────────────────────────────────────┐
░ │ THE JL's REGISTRATION CENTERS │
░ ├──────────────────────────────┬─────────────────────────────────┤
░ │Juergen Lorenz │ FAX........: NO │
░ │Laufgraben 39 │ GT NET/NODE: 803/000 │
░ │20146 Hamburg GERMANY │ CREDITCARDS: MC,VISA │
░ ├──────────────────────────────┼─────────────────────────────────┤
░ │Raymond Wood │ FAX........: 001 301-808-1099 │
░ │10829 Golf Course Terrace │ GT NET/NODE: 033/000 │
░ │Mitchellville │ CREDITCARDS: NO │
░ │Maryland 20721-2367 ...USA │ │
░ ├──────────────────────────────┼─────────────────────────────────┤
░ │Don Kelley │ FAX........: NO │
░ │9407 Arch Hill Circle │ GT NET/NODE: 003/010 │
░ │Austin, TX 78750 ...USA │ CREDITCARDS: NO │
░ ├──────────────────────────────┼─────────────────────────────────┤
░ │George Omoregie │ FAX........: NO │
░ │P.O. Box 305 │ GT NET/NODE: 080/003 │
░ │Independane, MO 64051 ...USA │ CREDITCARDS: NO │
░ ├──────────────────────────────┼─────────────────────────────────┤
░ │Terry Dansey │ FAX........: 0044 634-687178 │
░ │Readycrest Ltd. │ GT NET/NODE: 050/001 │
░ │P.O. Box 75 │ CREDITCARDS: MC,VISA,ACCESS │
░ │Chatham │ │
░ │Kent ME5 9DL ....UK │ │
░ └──────────────────────────────┴─────────────────────────────────┘
░ ┌─────────────────────────────────────────────────────────┐
░ │ PAY IN THE CURRENCY OF THE RECEIVER │
░ └─────────────────────────────────────────────────────────┘
┌────────────────────────────────────────────────────────────────┐
│ REGISTRATION FORM for JLUTIL, JLPLOT and JLBANK │
│ │
│ GT Net/Node: ___/___ Date: MM-DD-YYYY │
│ THE JL's SN: _______ │
│ GT Version: _______ [ ] upgrading GT regulary │
│ │
│ Name: ______________________ BirthDate: MM-DD-YYYY │
│ Address: ______________________ │
│ Address: ______________________ │
│ ZIP City: ___________________________________________________ │
│ Country: ______________________ │
│ Phone (Voice): __________________ (BBS): ____________________ │
└────────────────────────────────────────────────────────────────┘
┌──────────────────────────────────┬──────┬──────┬──────┬────────┐
│No Description │ DM │ UK£ │ US$ │SubTotal│
├──────────────────────────────────┼──────┼──────┼──────┼────────┤
│[ ] INITIAL REGISTRATION │ 40.00│ 16.00│ 27.00│________│
│[ ] UPGRADE from a prior version │ 15.00│ 6.00│ 10.00│________│
│[ ] INITIAL & ALL UPGRADES │ 70.00│ 28.00│ 47.00│________│
│[ ] SHIPPING PACKAGE add.│ 75.00│ 30.00│ 50.00│________│
│[ ] JLUTIL SOURCECODE add.│900.00│360.00│600.00│________│
│ IF paying with CreditCard, │ │ │ │ │
│ 10% or a minumum of add.│ 5.00│ 2.00│ 3.50│________│
│ IF register with Raymond, Don, │ │ │ │ │
│ George or Terry add.│ 5.00│ 2.00│ 3.50│________│
│ └──────┴──────┴──────┴────────┤
│ TOTAL: │
│ ─────────────────────────── ════════╡
└─────────────Signature──────────────────────────────────────────┘
░
░ SHIPPING PACKAGE
░ ════════════════
░
░ It is possible to get THE JL's on disk via mail. If you subscribe
░ to this service, you receive five versions of your choice. If a new
░ version will be released, you decide, if you want to have it on
░ disk. If you want it, you write me a short netmail, and you will
░ receive this version on disk. Up to five times, if you paid for one
░ shipping package.
░
░
░ It is also possible to register only some of the options. Ask for the
░ actual prices. One option costs between 3.50 US$ (eg.AC) and
░ 15.00 US$ (eg. IL,MO,BA).
░ Read the following informations, if you want to pay by credit card,
░ with a cheque eg. an EuroCheque or if you want to remit the money
░ to my bankaccount.
░
░ NOTICE: The best, cheapest and fastest way to pay me is to go to
░ your bank and remit the money or get a cheque in DM of a
░ german bank and send this cheque to me via mail or to
░ send a cheque in the currency of the receiver to Terry,
░ Raymond, Don or George.
░
░ ┌───────────────────────────────────────────────────────────────────────┐
░ │If paying by credit card (Access, Visa, Eurocard and MasterCard) │
░ │then please enter: │
░ │ │
░ │■ Name shown on card : │
░ │■ Address of holder : │
░ │ : │
░ │ : │
░ │ : │
░ │ : │
░ │■ Card type : ACCESS - VISA - EC - MC (indicate) │
░ │■ Card Number : ______ - ______ - ______ - ______ │
░ │■ Expiry Date : ______ / ______ │
░ │ │
░ │Please debit my credit card as above, signed: ________________________ │
░ └───────────────────────────────────────────────────────────────────────┘
░ ┌───────────────────────────────────────────────────────────────────────┐
░ │If paying with a CHEQUE, then take notice of the following points: │
░ │ │
░ │ ■ you must enter the amount in the currency of the receiver (to │
░ │ Juergen in DM, to Terry in £, to Raymond, Don or George in US$. │
░ └───────────────────────────────────────────────────────────────────────┘
░ ┌───────────────────────────────────────────────────────────────────────┐
░ │If paying with an EUROCHEQUE, then take notice of the following points:│
░ │ │
░ │ ■ you must enter the amount in the currency of the receiver (to │
░ │ Juergen in DM, to Terry in £, to Raymond, Don or George in US$. │
░ │ ■ you must enter the CardNumber at the backside of the cheque │
░ ├───────────────────────────────────────────────────────────────────────┤
░ │If paying with EuroCheque, then please enter: │
░ │ │
░ │■ Name shown on EuroCheque Card : │
░ │■ Card Number : __________________________ │
░ └───────────────────────────────────────────────────────────────────────┘
░ ┌───────────────────────────────────────────────────────────────────────┐
░ │If you want to REMIT the money to my bankaccount, then take notice of │
░ │the following points: │
░ │ │
░ │ ■ you must enter the amount in DM. │
░ │ ■ you must enter, that you are paying the costs of this remittion. │
░ │ ■ here are my details: │
░ │ │
░ │ Name: Juergen Lorenz │
░ │ Account Number: 75127700 │
░ │ SortCode: 20110022 │
░ │ BankName: Postsparkassenamt Hamburg │
░ │ Location: Hamburg (Germany) │
░ └───────────────────────────────────────────────────────────────────────┘