home *** CD-ROM | disk | FTP | other *** search
/ The Very Best of Atari Inside / The Very Best of Atari Inside 1.iso / sharew / spiele / denker / move / dokument / regist.drk < prev    next >
Encoding:
Text File  |  1995-08-15  |  1.6 KB  |  63 lines

  1.  
  2.  
  3.  
  4.  
  5.  
  6.  
  7.  
  8.  
  9.  
  10.  
  11.  
  12.  
  13.  
  14.           Registrierung für:
  15.  
  16.  
  17.           Name,                                               Alter:
  18.           Vorname________________________________________________________
  19.  
  20.           Str.
  21.           Haus-Nr:_______________________________________________________
  22.  
  23.           PLZ,
  24.           Ort____________________________________________________________
  25.  
  26.           Vorwahl,
  27.           Tel.-Nr:_______________________________________________________
  28.            
  29.           Wo gekauft/
  30.           bekommen:______________________________________________________ 
  31.  
  32.           Programmname,                               
  33.           Versions-Nr:___________________________________________________
  34.  
  35.           
  36.           Bemerkungen:___________________________________________________
  37.          
  38.           _______________________________________________________________
  39.  
  40.           _______________________________________________________________
  41.  
  42.           _______________________________________________________________
  43.           
  44.  
  45.  
  46.  
  47.           SicSac software                          Bankverbindung
  48.           Cloppenburger Str. 236                   Sparda_Bank Oldenburg 
  49.                                                    Kto.Nr. 760 684
  50.           26133 Oldenburg                          BLZ 400 605 60 
  51.                           
  52.  
  53.  
  54.  
  55.           Ort, Datum
  56.  
  57.  
  58.           ______________________________      _____________________________
  59.                                                       Unterschrift
  60.  
  61.            
  62.             
  63.