Registration Form
To
Dirk Holtwick
Grenzdicker Str. 13
D-47665 Sonsbeck
GERMANY
Phone: ++49/ (0)2801/ 1723
I want to become a registred user of the HTMLtext.mcc:
Name
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Address
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Country
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E-Mail
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Comment
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I am sending the shareware fee as (please mark as appropriate)
[ ] DM 20,- / US$ 15 in cash, included with this letter
[ ] Eurocheque over DM 20,-, included with this letter
[ ] Foreign check over DM 30,- / US$ 25, included with
this letter
[ ] Postal Money Order over DM 20,-, coming separately
[ ] Money transfer of DM 20,- / US$ 15 to this account:
Owner : Dirk Holtwick
Bank : Deutsche Bank, Duisburg
Bank Code : 350 700 30
Acct.No. : 4930236 00
(Please indicate your name on the transfer form!)
I have read the "AFD-Copyright" and the manual and agree with the
conditions.
_____________________ __________________________________________
(Date) (Signature)
BACK TO HOMEPAGE
Dirk Holtwick
(holtwick@uni-duisburg.de),
10-Sep-1997