NetGate Registration Form (1.3a)
                     ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

    "Yes, please rush me a key file so I can start using NetGate fully. I
find the program very useful and am desperately eeger to become a
registered user.

    I have read the registration and copyright sections in the DISTRIBUTION
file, and I completely agree."

1. Name and Address
~~~~~~~~~~~~~~~~~~~
Enter your name and address. Use CAPITALS (or at least write legibly):

   Name    : ________________________________________________________

   Address : ________________________________________________________

             ________________________________________________________

             ________________________________________________________

             ________________________________________________________

             ________________________________________________________


2. Electronic mailing information
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

E-mail (obligatory!)     :  _________________________________________

Fidonet/AmigaNet address :  ___:___/___.___ (Name: _________________)

Other                    :  _________________________________________


    All information provided by you here will be stored and processed
electronically. It will NOT be passed along to anyone not directly
associated with the NetGate project.

3. Payment
~~~~~~~~~~
Please tick off the method of payment which you will be using:
         _
        [_]  "I include a EuroCheck in the amount of DKK 130."
         _
        [_]  "I include US $20 cash (or equivalent in another currency)"
             (Approx.:  DEM 30  SEK 160  GBP 15    NO COINS!)

           *** FOREIGN CHECKS OF ANY KIND ARE NOT ACCEPTED! ***


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4. Obtaining the Key File
~~~~~~~~~~~~~~~~~~~~~~~~~
Please tick off the method you wish to use to obtain your key file:
         _
        [_] "Please mail it first-class on a 3,5" floppy disk"
         _
        [_] "Please uuencode and e-mail it to me (1)

(1): Fidonet mail is sent crash whenever possible.

6. Delivery
~~~~~~~~~~~
    "I expect my key file to arrive very soon, but just in case I do allow
up to eight weeks for delivery."

7. Notes
~~~~~~~~
    If you have any comments on NetGate, feel free to express these below:

   ________________________________________________________________________

   ________________________________________________________________________

   ________________________________________________________________________

   ________________________________________________________________________

   ________________________________________________________________________

   ________________________________________________________________________

   ________________________________________________________________________

   ________________________________________________________________________


7. Signature
~~~~~~~~~~~~
    "The information provided by me, here, is given truthfully. I look
forward to receiving my own, personal key file as soon as possible. Thank
you."




                                        _______________________________
                                                (your signature)



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