BackMan v1.0 Registration Form
                        --------------------------------

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

       My real name is:         _______________________________________

       My street address:       _______________________________________

       My home town:            _______________________________________

       ZIP (postal) code:       _____________

       My home country:         _______________________________________

       My fidonet address is:   ____:____/____.____

       My amiganet address is:  ____:____/____.____

       Other e-mail addresses:  _______________________________________

       My private telephone:    +___-(____)-__________


    Price List & Accepted Currency:
      BackMan  =  40000 Lit  -  40 DM  -  25 US$  -  20 UK£


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

      [ ]  An International Postal Money Order [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)
      [ ]  UUEncoded in CRASH Mail to your Fidonet/Amiganet boss
           (available only if you are a Point):

        node:  ____:____/____.____   Phone number  +___-(____)-__________


                                                Yours truly,

                                             __________________
                                             (please sign here)