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  1. +-------------------------------------------------------------------+
  2. |                    OPERA REGISTRATION FORM                        |
  3. +-------------------------------------------------------------------+
  4. To purchase your copy of Opera, please fill out this form completely 
  5. and return it to us in one of the following ways:
  6.  
  7. Via Mail: 
  8.              †Opera Software A/S - Opera Registration
  9.               Waldemar Thranesgate 86B 
  10.               0175 Oslo - NORWAY
  11.  
  12. Via Fax: 
  13.               Attention: Opera Registration
  14.               Number: +47 23 23 48 70
  15.  
  16. Via Wire Transfer:
  17.               Account Number: 7102.05.17284
  18.               Den Norske Bank - Kirkegaten 21 
  19.               P.O. Box 1171 - 0107 Oslo - Norway
  20.  
  21. Via Email attachment:
  22.               register@operasoftware.com
  23.  
  24. Oslo Telephone:  +47 23 23 48 68
  25.  
  26. ----------------------------------------------------------------------
  27. (All prices are in US Dollars)
  28. No of licenses:  [     ] license(s) of Opera 3.xx @ US$ 35.00
  29. Educational Discount [    ] Yes 
  30.  
  31. Bank Cheque/Postal Order payment add $3 to cover bank charges on cheque 
  32. payments.
  33. --------------------------------------------------------------------
  34. Note: For the educational discount, add a photocopy of student identity 
  35. card or proof that you belong to an educational institution. Only
  36. this will qualify for the 50% discount.
  37. --------------------------------------------------------------------
  38.  
  39. Name            _________________________________________
  40.  
  41.  
  42. E-mail   _________________________________________
  43.  
  44.  
  45. Company  _________________________________________
  46.  
  47. Country __________________________
  48.  
  49. Phone/FAX       _______________________  /  _________________________
  50.  
  51.         
  52.  
  53. For payments by Credit card:
  54.    Card Type    [  ] MasterCard  [  ] Visa  [  ] Amex   [  ] Diners
  55.  
  56.  
  57. Name on Card _______________________________________
  58.  
  59.  
  60. Card Number  ________________________________________
  61.  
  62.  
  63. Expiry Date  ____________________ [mm/yy]   
  64.  
  65.  
  66. Total amount of order US$   ___________
  67.  
  68.  
  69. Date ____________       Signature _________________________________
  70.  
  71.  
  72.  
  73.        
  74.