S h u t  D o w n  N O W!   -    O r d e r  F o r m:



I want to register "ShutDown NOW!" software as follows:

Please register me as:
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           Company:

        First name:                     Last name:

        Street, No./P.O. Box:

        ZIP/Postal:                          City:

            E-Mail:

I choose the following conditions and payment:
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        [  ] Single user- and machine license.
        [  ] Multi  user- and machine license for: ........... users/machines.

        I will pay ........... (insert the amount, shown on the SHDN
                                registration window / or:
                                single license = $ 15.- / DM 20,-)

                               [  ] US Dollars    [  ] Deutsche Mark

        [  ] I will pay cash, incl. in this letter (single licenses only!)

        [  ] I will transfer the amount to:
             C. Stratz, PostBank Berlin, in Germany,
                        BLZ 100 100 10, Account-No.: 1058 69 105

        [  ] I will pay with a check, incl. in this letter
            (plus $ 5.- exchange for single license, outside Germany)


Please send me an e-mail or a postcard with my life-time registration number,
as soon as possible!



Place: ...................... Date:    /    /         .......................
                                                              (Signature)

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Please mail this form to: C. Stratz, Berlepschstr. 136, D-14165 Berlin, Germany