ShareIt! (www.shareit.com) Registration form
                          XTrace - Program No.: 104814
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         Please use this form _only_ for registrations via ShareIt! !!
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Name        : _________________________________________________________________

Address     : _________________________________________________________________

              _________________________________________________________________

Country     : _________________________________________________________________
                
Phone       : _________________________________________________________________

Fax         : _________________________________________________________________

e-mail      : _________________________________________________________________


Hardware    : CPU : [ ] MC68000  [ ] MC68010  [ ] MC68020 [ ] MC68030
                    [ ] MC68040  [ ] MC68060  [ ] PPC603  [ ] PPC604

              FPU : [ ] none  [ ] M 68881  [ ] M 68882  [ ] integrated

Payment by  : [ ] Cheque
              [ ] Cash   
              [ ] Wire transfer

              [ ] Credit card
                  [ ] Visa             [ ] Eurocard/Mastercard
                  [ ] American Express [ ] Diners Club

                  Card holder: ________________________________________________

                  Card No.: ___________________________________________________

                  Date of Expiration : ________________________________________

              The registration fee for a registration via ShareIt! is is in
              every case Euro 25.00 or US$ 25.00.

Delivery:   [ ] by mail on a branded 3.5" disk
            [ ] by e-mail, UU/MIME (please select) encoded



 

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