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           StarAm Plan Version 2.1b Registerform
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Please send to:
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Thorsten Passow
Senator-Theil-Straße 113
D-28279 Bremen
Germany
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I want to become a registered user of »StarAm Plan« version 2.1b. The
share of DM 30/US$ 30 (cash or Eurocheck) are included.


Please fill out clear:


Name   :_____________________________________________


Address:_____________________________________________


        ________  ___________________________________


Country:_____________________________________________


EMail  :_____________________________________________


Preferred languages:_________________________________



 _______________    _________________________________
     (Date)                      (Sign)


Please answer also the following questions (is free):

I become aware of »StarAm Plan« by: 

  ___________________________________________________________________

I use:

Amiga Model:  __________________   AmigaOS Version: _________________

Processor   : __________________   Coprocessor: _____________________

Fast-RAM (Capacity): ___________   Harddisk (Capacity): _____________

Graphicsaccel.(Model): ______________________________________________

Other Expansions: ___________________________________________________


P.S.: You can write remarks, bug reports, suggestions on the back of
      this form