********* NETLOCK/NT REGISTRATION FORM ************* Please use this form to order your registered version of NETLOCK/NT, and send it to the following address: Software Development Johann Weinzierl Eichstaett 29 84098 Hohenthann Germany Please send me: --------------- _____ copies of NETLOCK/NT licences each for DM 150 = _________ (or $100) Shipping is included in the price. The licence(s) should go to: ============================ Name: ___________________________________________ Company: ________________________________________ Street: _________________________________________ Town: __________________________________________ Tel: __________________________________________ Fax: __________________________________________ email adress: (if exist) ___________________________________ Compuserve : (if exist) ___________________________________ Fido : (if exist) ___________________________________ I have included the registration fee in form of: __ a check __ cash (preferred, grins :-) __ have transferred to the following bank: RAIFFEISENKASSE HOHENTHANN 84098 HOHENTHANN JOHANN WEINZIERL BANKLEITZAHL: 743 676 92 KONTONR: 05 3389 0 Date: ________________ Sign:____________________