InfraRexx 1.6 Registration/Order Form

User Information

    Name:
          ŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻ
    Address:
             ŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻ

             ŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻ
    Country:
             ŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻ
    Internet/Fidonet E-Mail:
                             ŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻ
      ( ) Yes, please e-mail new InfraRexx releases as uuencoded mail.
          For those that don't have access to FTP or an up-to-date BBS.

InfraRexx Registration

    ( ) Yes, I want to register to InfraRexx. I have included the
        registration fee (NLG 15 or USD 10) with this form.
    ( ) I get free registration because I order the hardware.

Ordering the InfraJoy hardware

    ( ) Yes, I would like to order the InfraJoy v4 hardware.
        I've included payment for...

        ( ) the complete InfraJoy hardware. (NLG 40 or USD 28)

        ( ) an extension cable. (NLG 6 or USD 4 EXTRA)

        What is the Amiga configuration the hardware is used with?


        ŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻ
        ( ) Optimise receiver for this brand (i.e. Sony, Philips etc.):


        ŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻ

I have read the copyrights and disclaimer notes and agree,


 place, date:                          sign:
              ŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻ       ŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻ
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Worldwide

Send cash money in USD (US dollar) prices, or the equivalence in your local
currency. We do not accept international cheques, unless you add USD 15 to
cover cashing costs.

Europe

Send cash money (see above), or send a EuroCheque; fill in NLG (dutch
guilders) currency and prices.

Please allow two to six weeks for delivery of the InfraJoy hardware.