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          Registration form for Modem Init String - Database v2.1
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 Today's Date and Time....: 

 Name.....................: 
 Address..................: 
 Zipcode + Location.......: 
 Country..................: 
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  Send this form (along with your payment) to: PaVaBe Software
                                               Gneis 8
                                               2719 TM  Zoetermeer
                                               Holland

   Registration fee : HFL 10,00 or DM 10 cash for each copy

   You can pay the registration fee the following way's :

     ■ HFL (Dutch Guilders) cash.
     ■ DM (Deutsche Marken) cash.
     ■ Eurocheque (Holland only). The amount must be in HFL.
     ■ Transfer it to mine Bank account number.
       ABN-AMRO : 47 77 41 630   Giro number of the bank is : 30 54
     ■ Transfer it to Postgiro number : 22 89 50
       To the attention of : P. van Beekum, Zoetermeer, Holland.
     ■ International  Postal Money Order.  This means you  pay the amount
       at your local  post office,  and the postman  hands it over  to me
       a few days later (cash). The amount must be in HFL. To the attention
       of : P. van Beekum, Zoetermeer, Holland.

  You will receive the registration code from me with the post.
  Your registration code will work on all the new versions of this programma.