--------------------------- D I S K P R I N T ----------------------------

=========================== REGISTRATION FORM ============================
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     Name:    ____________________________________________________________

     Address: ____________________________________________________________

              ____________________________________________________________

              ____________________________________________________________

     Country: _________________________

     E-Mail:  ____________________________________________________________

              ____________________________________________________________

     Video Mode:  O NTSC  O PAL

     OS version: _____  CPU: 680_________ Printer(s): ____________________


     Comments ____________________________________________________________

         _________________________________________________________________

         _________________________________________________________________

         _________________________________________________________________


     I am sending my contribution of (please circle as appropriate):

     O US-$ 20  (dollar bills or foreign currencies)
                for full DiskPrint registration.
     O US-$ 28  (dollar check or check in foreign currencies)
                for full DiskPrint registration.

     O US-$ 25  (dollar bills or foreign currencies)
                for full DiskPrint registration and next upgrade.
     O US-$ 33  (dollar check or check in foreign currencies)
                for full DiskPrint registration and next upgrade.

     (Cashing a check of foreign currencies costs about US-$8 in Germany
      so if sending a check, the higher contribution is necessary. Sorry!)

          ____  because I believe in supporting SHAREWARE!

     Nothing! just to let you know that I have tried the program
              and have some comments.  Sorry I can't give any
              donation at this point.

     Total donation: US-$ ____

-- cut -------------------------------------------------------------------

     Please send this form (and money, of course) to:

                              Jan Geissler
                              Hermann-Rombach-Str. 17
                              D-7120 Bietigheim-Biss.
                              Germany (West),  Europe

     Bug reports or suggestions may optionally be sent to the following
     EMail address:      FidoNet:   "Jan Geissler" @ 2:2407/106.5
                         InterNet:  jan@digit.stgt.sub.org

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