  Print or copy this form, then fill (in a readable manner).
  ======= BancaBase3 ====== Registration FORM ====== World ==============

  I've  used a DEMO  version  of  BancaBase  and I've decided to become a
  REGISTERED user. So I've read file 'How_to_Register' and fully agree.
                                                        (MOD.  reg.  1.3)

  Surname: _____________________________ Name : _________________________


  Address: _______________________________________  Number : ____________


  ZIP       : __________________   City : _______________________________


  Country   : ______________________   Phone : __________________________


  EMail     : ___________________________________________________________


  FidoNet   : ____:____/____.____


  Amiga used: _________________________  Kick version : [2.0] [3.0] [3.1]


  SPECIFY THE AVAILABILITY OF   :  HardDisks [ ]    Two Drives  [ ]

  (optional)
  Expansion, other hardware...  : _______________________________________

  Comments e/o suggestions : (Write on the back if more space needed)

  _______________________________________________________________________

  _______________________________________________________________________

  Tick the desidered registration form :

  Normal       [ ] Send Lire (50.000 within EEC) or (55.000 out of EEC)
                   to receive the labeled diskette at home.

  KeyFile only [ ] Send Lire 38.000 to receive the keyfile via Email.
                   (Valid only if you have a personal Email address).

  Note : only Italian lire please !
  Specifically,  with  my  signature,  I commit on installing the keyfile
  only on one computer and not giving it to others.


  Date   : _________________________     Sign:___________________________

  =======================================================================
  If  you  are a registered user of BancaBase and want to receive the new
  version  write here your registration code number.  In this case if you
  want to receive the disk at home you must send Lire 20.000.

  Actual BancaBase Version :____________   Personal Code : __ __ __ __ __
  =======================================================================
