
                              Registration Form
                              ~~~~~~~~~~~~~~~~~

                  * Please only in English if possible!!! *
                         (And strip out the left '_')


SysOp name        :  ______________________________________________________

Full address      :  ______________________________________________________

                     ______________________________________________________

Country           :  ______________________________________________________

Network-Addresses :  ______________________________________________________

                     ______________________________________________________

Computer Type     :  A __00

Processor         :  680___

Kickstart Version :  ______

Comment           :  ______________________________________________________
 (In italian or      ______________________________________________________
  English)           ______________________________________________________
                     ______________________________________________________

Price List:

   GMS Mailer:       50.000 Lire


Total donation    :  *** ________ Lire / ____ DM / ____ US$ / ____ UK ***

---
