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Text File  |  1997-12-08  |  2.8 KB  |  84 lines
  1. *********************************************************************
  2. *                                                                   *
  3. *                   $VER: Reg.Form 40.5 (08.12.97)
  4. *                                                                   *
  5. *********************************************************************
  6. *                                                                   *
  7. *                         Registration Form                         *
  8. *                                                                   *
  9. *                                for                                *
  10. *                                                                   *
  11. *                     HyperText-DataType-System                     *
  12. *                                                                   *
  13. *                                and                                *
  14. *                                                                   *
  15. *                              UniView                              *
  16. *                                                                   *
  17. *********************************************************************
  18.  
  19. Name            : ___________________________________________________
  20.  
  21. Address         : ___________________________________________________
  22.  
  23. City            : ___________________________________________________
  24.  
  25. State           : ___________________________________________________
  26.  
  27. Zip/Postal Code : ___________________________________________________
  28.  
  29. Country         : ___________________________________________________
  30.  
  31. EMail           : ___________________________________________________
  32.  
  33. WWW             : ___________________________________________________
  34.           Insert here your Home-Page address, if you want a
  35.           link from my Home-Page to your page.
  36.  
  37. Shareware Fee   : __ 40,- DM or __ 30,- US Dollar.
  38.           __ 30,- DM or __ 20,- US Dollar (until 31.12.1997)
  39.  
  40.  
  41. __ I have transfered the money to your bank account below.
  42.  
  43. __ I have included the money with this registration.
  44.  
  45. __ I have send you a keyfile for my ShareWare ______________ program.
  46.    (after agreement)
  47.  
  48.  
  49.  
  50. __ Send me the keyfile via postal mail
  51.  
  52. __ Send me the keyfile to my email address PGP encoded
  53.  
  54.  
  55.  
  56. Note: Please provide a EMail address and a PGP-key.
  57.       Then you get the keyfile quickest.
  58.  
  59.  
  60. This registration form is only for a single lisence registration.
  61. For group registration or product lisence, please contact me before.
  62.  
  63. Send this via EMail to :
  64.  
  65. <ruppert@informatik.fh-wiesbaden.de> or
  66. <ruppert@goofy.zdv.uni-mainz.de> or
  67. <ruppert@amigaworld.com>
  68.  
  69. or via postal mail to :
  70.  
  71. Stefan Ruppert
  72. Windthorststraße 5
  73. 65439 Flörsheim
  74. GERMANY
  75.  
  76. --
  77. Bank account :
  78.  
  79. Account owner: Stefan Ruppert
  80. Bank name    : Nassauische Sparkasse Flörsheim, Germany
  81. Bank code    : 510 500 15
  82. Bank account : 208 011 537
  83.  
  84.