$Id: register.txt,v 1.18 2014/11/10 20:48:55 ralph Exp $

                +------------------------------------+
                | Order Form for ROSE SWE's CrCheck  |#
                +------------------------------------+#
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    Name: _______________________________________________________________

    Company (optional): _________________________________________________

    Address: ____________________________________________________________

    City,State,Zip: _____________________________________________________

    Country (blank if Germany): _________________________________________

    Where did you get CrCheck?: _________________________________________

    What version of CrCheck do you use?: ________________________________

    Date: __________________    Signature: ______________________________


---------- Version ---------

( )  English Version            EURO 10,--   (each version)
( )  German Version             EURO 10,--   (each version)

( )  Please add EURO 5,-- extra for outside Europe if we shall send CrCheck via
     standard mail (snail mail :)!

     Media:  (  ) CD-ROM       (  ) Email
             (  ) ask for other media/email

--------- Payment ---------

( )  I have enclosed an Eurocheque for registering CrCheck. Checks must
     be drawn in EURO! Please use non negotiable checks!

( )  I have transferred the money (ONLY in Euro) to your account:
     >> Non German users (Europe):
        Ralph Roth, IBAN DE37 5105 0015 0238 1111 29
                    SWIFT-BIC:NASSDE5XX

     >> German users or Worldwide:
        Ralph Roth, Account Number 238111129, BLZ:  510 500 15
        Nassauische Sparkasse

( )  I have enclosed the money in bills at my own risk! Use a registered
     letter if you have doubts! Cash in US$ & UR is accepted.

We can not accept credit cards! Do not send coins!

Please send to                           or email to

     ROSE SWE                            rose_swe@hotmail.com
     Dipl.-Ing. Ralph Roth
     An den Weingrten 25                http://rose.rult.at
     D 65611 Oberbrechen
     Germany

Thank you for registering CrCheck!  Origin: 4.61 ($Date: 2014/11/10 20:48:55 $)
