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                 REGISTRATION FORM FOR MIDIBASE V1.x 
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Use this registration form to register MidiBase. After filling it
in you can print and send it, or if you have access to the internet 
email it. If you do not have access to a printer you can copy this 
information by hand, provided your writing is clearly readable.
See below for email and mail addresses. 

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Name            :	
Organization    :
Address         :
State           :
Country         :
ZipCode         :
Telephone       :
Fax(opt)        :
Email(opt)      :
Homepage(opt)   :

Windows Version : Windows 3.x :
                  Windows 95  :
                  Windows NT  :

Send me  : ... programs & registration codes by mail.
           ... registration codes by email.
	   ... registration codes by fax.

Total amout  :   ... * $15 ( or FL25 / 22,50 DM ) = .. ...
(check currency ratings to calculate for other countries).

Payment method : International Bank Exchange       :
(mark one)       Postal Transfer                   :
                 Cheque (to the name Dave de Jong) :
                 Send cash (no coins!)             :

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International Bank Exchanges can be transferred to account no. 
45.11.80.763 of the ABN/AMRO Bank in Holland to Dave de Jong.
(Be sure to specify your name and the text "MidiBase Registration",
please send this form first before making any donations).

DNote Software
Seringenstraat 3
5644 PK Eindhoven 
Holland

EMail : dnote@pi.net
Fax   : ++3140-2117805 (040-2117805 in Holland)

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I, ....... (future user of MidiBase) and Dnote Software are hereby 
obligated to respect the registration rules as stated in the helpfile.
