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/ SPACE 2 / SPACE - Library 2 - Volume 1.iso / utility / 557 / lharc / register.eng < prev   
Text File  |  1991-10-13  |  2KB  |  57 lines
  1.        ***************************************
  2.           *         Registering PFXPAK         *        
  3.           ***************************************
  4.  
  5.  
  6.  
  7. Date        ___.___.___
  8.  
  9. Name        ___________________________________________________________
  10.  
  11. First name    ___________________________________________________________
  12.  
  13. Street        ___________________________________________________________
  14.  
  15. City        _________ / _______________________________________________
  16.  
  17. Land        ___________________________________________________________
  18.  
  19. I pay the charge of $US 15 deutsche marks:
  20.  
  21.     [ ] Cheque                
  22.  
  23.     [ ] cash (money)    
  24.  
  25.     [ ] per intalment on your account.    
  26.  
  27.  
  28. My Computer    ________________        Monitor: [ ] BW / [ ] Color
  29.  
  30. Memory        _____________ MB        Tos-Version: ______________
  31.  
  32. Additional Hardware (Printer, Scanner..): _________________________________
  33.  
  34. ___________________________________________________________________________
  35.  
  36.  
  37. I got PFXPAK:
  38.  
  39.   [ ] from friends.
  40.  
  41.   [ ] form a mailbox       : ______________________________________________
  42.  
  43.       Net           : ______________________________________________
  44.  
  45.   [ ] from a dealer       : ______________________________________________
  46.  
  47.       _____________________________________________________________________
  48.  
  49.       _____________________________________________________________________
  50.  
  51.  
  52.   [ ] Any other way       : ______________________________________________
  53.  
  54.       _____________________________________________________________________
  55.  
  56.       _____________________________________________________________________
  57.