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- Registration Form
- -----------------
-
- PerSuaSiVe SoftWorX
-
- To: Andreas R. Kleinert Fax +49-271-22869
- Am Kornberg 48 (0271-22869)
- D-57076 Siegen
- Germany, Europe
-
-
- Currently used JPEG-Box Version ___________ (Library-Version _______)
-
- Found where ? O Aminet O Aminet-CD No. ___ O Other source: _________
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- Full Name : __________________________________________
- Street : __________________________________________
- City, Postal Code : __________________________________________
- Country : __________________________________________
- EMail : __________________________________________
- Phone : ___ _______ _______
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-
- Registration includes a personal KEYFILE, which:
-
- O should be sent to the EMail adress as mentioned above, so I included
- 25 DEM (15 U$) [ please also see the "Discount" offers ]
-
- O should be sent via snail mail, so I included
- 30 DEM (20 U$) [ please also see the "Discount" offers ]
-
- (The PPC modules can be ordered fromout the SViewNG registration form
- or the "Discount" offer form.)
-
- The Shareware-fee comes as
-
- O included euro-cheque
- O included cash money
- O immediately following postal order
- (copy of bill included)
- O order cheque of german bank
-
- Additional information about my computer system (voluntarily, but
- helpful for support on errors) :
-
- My computer system consists on an ______________ with the following
- peripherals/expansions :
- ___________________________________________________________________
- ___________________________________________________________________
- ___________________________________________________________________
- ___________________________________________________________________
-
- I carefully read the documentation files of the program and I tested
- the program well, so that I am sure that the program will run without
- significant problems on my computer system.
- I do acknowledge, that the author of the program cannot be held
- responsible for any kind of damages or other problems directly or
- indirectly caused by the program (as also described within the
- program's documentation I already did read).
- So I included the shareware fee and decided to become a registered user
- of the program.
-
- I won't give my personalized keyfile away to anyone else.
-
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- __________________________ _______________________________
- City, Date Signature
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-