BackMan Registration Form
                        ---------------------------
         [ NOTE: Please fill in this form *before* you print it. ]

     Yes, please, send me the keyfile for BackMan.
     I have read the 'Registration' chapter in the manual and fully agree.

       Real name:            _______________________________________

       Street address:       _______________________________________

       Home town:            _______________________________________

       ZIP (postal) code:    _____________

       Home country/state:   _______________________________________

       E-mail address:       _______________________________________

       Private telephone:    +___-(____)-__________


       This information will only be used by the BackMan author(s) for the
       purpose of registration and will never be made available to third
       parties. You are not required to provide any of this information,
       however, you understand that we will not be able to fulfill your
       registration request if you don't provide us with your name and
       either a standard mail or e-mail address.


    Price List & Accepted Currency:

      BackMan  =  40000 Lit  -  40 DM  -  25 US$  -  15 UK£

      [ Verify amount at current exchange rates. Check with the author(s)
        if you'd like to use a currency not listed here. ]


    I am sending you (tick as appropriate)...

      [ ] An International Postal Money Order [Italian Lire (Lit.) ONLY]
      [ ] An EuroCheque [Italian Lire (Lit.) ONLY]
      [ ] Cash money [enclosed in the envelope (at my own risk!!!)]


    I would like to receive my keyfile (tick as appropriate)...

      [ ] Via standard mail (requires about 4 weeks)
      [ ] Via electronic mail (encrypted with PGP)

          I will send my PGP key by email. My key fingerprint is:

            __ __ __ __ __ __ __ __  __ __ __ __ __ __ __ __



                                                Yours truly,

                                             __________________
                                             (please sign here)