
                       Registration form for Xtruder
                       =============================

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

    If you have printed this PLEASE WRITE LEGIBLY!

-----------------------------------------------------------------------------

                    Full name:______________________________________

                 Full address:______________________________________

                              ______________________________________

                              ______________________________________

                              ______________________________________

                              ______________________________________

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

           E-Mail address(es):______________________________________

                              ______________________________________

              FidoNet address:______________________________________

               AmyNet address:______________________________________

      Complaints, wishes etc.:______________________________________

                              ______________________________________

                              ______________________________________

                              ______________________________________

  Would you like your name on       _        _
    the registered users list: Yes |_|   No |_|

      Your version of Xtruder:__.__

       Your Kickstart version:__.___
                                    _       _
             Do you run a BBS: Yes |_|  No |_|
                                     _               _                  _
                    I pay via: Cash |_|  EuroCheque |_|  Bank transfer |_|
                                          _           _
  I would like my keyfile via: Snailmail |_|  E-Mail |_|

-----------------------------------------------------------------------------

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