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IMAIL REGISTRATION FORM
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Full name: __________________________________________________
Street Address: _____________________________________________
City: _______________________________________________________
State/Prov: _______________________ Postal Code: ___________
Country: ____________________________________________________
Network Address(es): ________________________________________
Data Phone: _________________________________________________
Voice Phone: ________________________________________________
Registered via: (*) _________________________________________
On date: ____________________________________________________
Number of copies of IMAIL: __________________________________
Ammount sent: _______________________________________________
Note: Please specify your name as you have it defined in
IMSETUP, and ensure that the network address(es) given above
appear in the System Addresses menu. This information is used
in the generation of the registration key, and must be exact.
(*) Indicate method of payment used: postal order, bank
transfer, GIRO, ...