Private Music Collection Registration Form

NOTE: THIS IS THE REGISTRATION FORM FOR VERSION 1.02 IF THERE IS
A NEWER VERSION IT WILL BE SENT TO YOU TOGETHER WITH YOUR KEY.


Site licenses:  A site license for PMC entitles an organization
to receive one copy of the distribution package and to duplicate
the distribution disk for the specified number of copies.

PMC    Single Copy    ____    copies at $25 each = ______
(order just one for private use)

WinZip Site License (For organisations and commercial use)
  2 to   9 computers: ____ computers at $20 each = ______
 10 to  24 computers: ____ computers at $15 each = ______
                           Total payment         = ______


            Name: ______________________ Date:___________

         Company: _______________________________________

         Address: _______________________________________

City, State, Zip: _______________________________________

         Country: _______________________________________

Electronic Mail address: ________________________________

How did you hear about PMC? _____________________________

_________________________________________________________

Comments:________________________________________________

_________________________________________________________

_________________________________________________________

_________________________________________________________


Contact me at avdlogt@worldaccess.nl if you have any questions.

Ordering:

Pay to bankaccount 33.12.67.381 Rabobank Kampen.

or send it to
Arjan van de Logt
Wilhelminalaan 44
8262 DG  Kampen
The Netherlands

At this moment I can't accept payment by credit card.

The Dutch prizes are: 
Fl 30      for 1 copy, 
Fl 25 each for 2 to 9 copies,
Fl 20 each for 10 to 24 copies.

German prizes are equals to the Sutch prizes.

Send this registarion form via E-mail to
avdlogt@worldaccess.nl