Registration form for NewChange
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    The following personal data will only be seen and stored by the author
    of NewChange, Martin Wulffeld, and will NOT be made accessible to anyone
    else.

    If you have printed this PLEASE WRITE LEGIBLY!

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                    Full name:______________________________________

                 Full address:______________________________________

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         Private phone number:+___-(____)-_________________

           E-Mail address(es):______________________________________

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              FidoNet address:______________________________________

               AmyNet address:______________________________________

      Complaints, wishes etc.:______________________________________

                              ______________________________________

                              ______________________________________

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    Your version of NewChange:___.__

       Your Kickstart version:___.___
       
                     Your CPU:_______

  Would you like your name on       _       _
    the registered users list: Yes |_|  No |_|
                                     _               _                  _
                    I pay via: Cash |_|  EuroCheque |_|  Bank transfer |_|
                                          _           _
  I would like my keyfile via: Snailmail |_|  E-Mail |_|

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   REFER TO MAIN DOCUMENTATION FOR THE FULL DETAILS ON HOW TO REGISTER.