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  11.         To:                                Please register me for "ScreenClock"
  12.         Thomas Igracki
  13.         Freudenberger Weg 31
  14.         13583 Berlin
  15.         Germany
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  24. FirstName:                               Name: 
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  26.    Street: 
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  28.  ZIP,City:                                         Country: 
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  30.     EMail:                                           Phone: 
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  32.    Config: 
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  34.    Where do you get this programm?
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  36.      [ ] Aminet CD No. 
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  38.      [ ] from my Homepage http://softory.home.pages.de/
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  44.  Payment by: [ ] Cash (please don't send coins)
  45.                  [ ] $7 (US dollar)
  46.                  [ ] 10 DM (Deutsche Mark)
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  48.              [ ] Money transfer of 10 DM to this account:
  49.                    Thomas Igracki
  50.                    Sparkasse Berlin
  51.                    Account 860 169 138
  52.                    BLZ 100 500 00
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  55.                  Write a little note (who you are etc) on the transferformular!
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  59.  Comment:                                                                      
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  66.             (City, Date)                               (Signature)
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  69. Thank you for registering ScreenClock!
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