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Text File  |  1992-07-03  |  2KB  |  72 lines
  1. REGISTRATION FORM
  2. =================
  3. (c) 1992 by Stephan Fuhrmann, Erikstraße 30, W-2380 Schleswig, Germany
  4.  
  5. Program        :______________________________________________
  6.  
  7. Version        :______________________________________________
  8.  
  9. Last Name    :______________________________________________
  10.  
  11. First Name    :______________________________________________
  12.  
  13. Age        :______________________________________________
  14.  
  15. Profession    :______________________________________________
  16.  
  17. Street        :______________________________________________
  18.  
  19. City        :______________________________________________
  20.  
  21. Country        :______________________________________________
  22.  
  23. Phone        :______________________________________________
  24.  
  25. Best times
  26. to call        :______________________________________________
  27.  
  28. Locale BBS,
  29. Name & Number    :______________________________________________
  30.  
  31. UserName    :______________________________________________
  32.  
  33. EMAIL-Address    :______________________________________________
  34.  
  35. Known (human)
  36. Languages    :______________________________________________
  37.  
  38. Which
  39. Computer(s)    :______________________________________________
  40.  
  41. Running with
  42. Operation System:______________________________________________
  43.  
  44. Amount of RAM
  45. (CHIP,FAST)    :______________________________________________
  46.  
  47. Additional
  48. Hardware    :______________________________________________
  49.  
  50.  
  51.         _______________________________________________
  52.  
  53. Owned        :       O ARJ
  54. Archivers        O ARC
  55. (tick please)        O ZOO
  56.                         O PkaZip
  57.             O LhArc
  58.             O Lz
  59.             O LhA
  60.             O Shrink
  61.  
  62. What do you wish:    O UPDATE(s)    amount of money:_________________DM
  63.             O Enhanced Version
  64.             O BUG-Fix
  65.             O Donation    amount of money:_________________DM
  66.             O Register    amount of money:     - 30.00 -   DM
  67.  
  68.             O ________
  69.  
  70.  
  71.         Please print this form and send it to me.
  72.