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  Name :      _____________________________________________________________

  Address :   _____________________________________________________________

              _____________________________________________________________

  Country :   __________________

              I mark all places where SFX-users live, on a worldmap. If your
              residence is too small, that I can locate it on a worldmap,
              please fill in some information that helps me to find it (like
              the next largest city)

              _____________________________________________________________

  Phone :     _______________________ E-Mail :    _________________________

  Hardware :  CPU : o 68000        FPU :   o none
                    o 68020                o 68881/882
                    o 68030
                    o 68040
                    o 68060

              other : _____________________________________________________

              _____________________________________________________________

  Payment :
            o DM 30,- / US$ 25 /  15 cash, enclosed in this letter
            o Eurocheque about DM 30,-, enclosed in this letter
            o Moneytransfer of DM 30,- / US$ 25 /  15 to my account
              (Please enter name and adresse at the transferform!)


  I commit with my signature not to copy the keyfile to others and to use
  it only at one computer.




   _____________________  ___________________________________________
          (Date)                         (Signature)
