============================================
        Registration for GetVer 4.00
============================================

Forename    : 
Surname     : 
Address     : 
            : 
            : 
            : 
Telefone    : 

Net address : 

Share amount: [ ] 10,- DM
              [ ] 10,- US$
paid on     : 

On receipt of the fee i would ask you to
send me my personal keyfile to

    [ ] the above Net address
    [ ] my home address

(please mark your choice like this [x])