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   	   *	     Registering PFXPAK		 *		
   	   ***************************************
 
 
 
Date		___.___.___
 
Name		___________________________________________________________
 
First name	___________________________________________________________
 
Street		___________________________________________________________
 
City		_________ / _______________________________________________
 
Land		___________________________________________________________
 
I pay the charge of $US 15 deutsche marks:
 
	[ ] Cheque				
 
	[ ] cash (money)	
 
	[ ] per intalment on your account.	
 
 
My Computer	________________		Monitor: [ ] BW / [ ] Color
 
Memory		_____________ MB		Tos-Version: ______________
 
Additional Hardware (Printer, Scanner..): _________________________________
 
___________________________________________________________________________
 
 
I got PFXPAK:
 
  [ ] from friends.
 
  [ ] form a mailbox	   : ______________________________________________
 
      Net		   : ______________________________________________
 
  [ ] from a dealer	   : ______________________________________________
 
      _____________________________________________________________________
 
      _____________________________________________________________________
 
 
  [ ] Any other way	   : ______________________________________________
 
      _____________________________________________________________________
 
      _____________________________________________________________________