
 -----------------------------------------------------------------------------
                    Ice Utilities European Registration Form
 -----------------------------------------------------------------------------

   The information needed for the registration key and where the key will
   be sent to:

   BBS Information:
   ----------------

   Sysop Name  : [__________________________________________________]
   (Exactly as it appears in your BBS configuration!)
   BBS Name    : [__________________________________________________]

   BBS Software: [__________________________________________________]

   BBS Version : [__________________________________________________]

   Computer    : [__________________________________________________]

   BBS Phone   : (_____)_____-________

   Modem Type & Speed : [___________________________________________]

   Address Details:
   ----------------

   Name        : [__________________________________________________]

   Address     : [__________________________________________________]

   City        : [__________________________________________________]

   Province    : [_________________]  Post Code: [____________]

   Country     : [_________________]  Voice Phone : (_____)_____-________

    Prices below are for cash, EuroCheques, American checks,
    or bank transfers (NO OTHER CHECKS THEN ABOVE!)

   Programs registering: IceBank, Deluxe TimeBank System     [ ] $15 / DM 25
                         IceChat, Deluxe Splitscreen Chatter [ ] $15 / DM 25
                         IceCBV,  Cool Callback Verifier     [ ] $15 / DM 25
                         IceEdit, Deluxe FullScreen Editor   [ ] $15 / DM 25
                         IceNote, Note To All Users Door     [ ] $12 / DM 20
                         IceUser, RA Online User Editor      [ ] $12 / DM 20

   Payment method:       Cash                                [ ]
                         EuroCheque                          [ ]   $5 / DM 5
                         GIRO                                [ ]

                          Total registration cost (US$)    ________

   Make EUROCHECK or money order payable to: "Vince Maggio"
   total.  You can also transfer money to the following account:

   Bank Account Holder: Irene Maggio
   H & G Bank Heidelberg
   Konto #: 64165208
   BLZ: 672 901 00

    You can register online through our credit card door - or, send in the
    the completed credit form below.  NO registrations will be forwarded until
    credit card numbers have been verified!  Also remember that a completed
    registration form (this document) must be either uploaded, mailed, or
    netmailed (CRASHMAIL ONLY!) to me prior to receiving your key(s).

    IF PAYING BY VISA/MASTERCARD, THE FOLLOWING PRICES APPLY :

Programs registering:      IceBank, Deluxe TimeBank System     [ ] DM 35
                           IceChat, Deluxe Splitscreen Chatter [ ] DM 35
                           IceCBV,  Cool Callback Verifier     [ ] DM 35
                           IceEdit, Deluxe FullScreen Editor   [ ] DM 35
                           IceNote, Note To All Users Door     [ ] DM 30
                           IceUser, RA Online User Editor      [ ] DM 30

  *************** ALL CREDIT CARDS WILL BE BILLED IN DM ***************
            The following information will be needed for processing:

            Username: ___________________________________

            Cardtype: Visa/MasterCard ________

            Cardowner: __________________________________
            (EXACTLY as name appears on card)

            Cardnumber:____-____-____-_____

            Expiration: (00/00): ____

  You can expect your key to be ready a week after I receive your payment.

  ***** PLEASE DO NOT POLL BEFORE THIS OR YOU WILL BE DISAPPOINTED! ******

   If you want your key by mail (Include additional DM7/ $5US for Disk)
   ----------------------------
   Disk format : [ ] 3.5"
                 [ ] 5.25"

   If you want your key by "polling" - Fidonet Node number Required
   ----------------------------------------------------------------

   Node number : [_____] : [_____] / [_____] . [_____]

   Session pwd : [________]

   My FIDO addresse is:

      2:2468/6022 - V.FC 28.8/v.32bis.




   Please Check One :  [_] I will poll for my key from Modem Link BBS
                       [_] I would like my key crashed to me

   Comments/Bug Reports : _______________________________________________

   ______________________________________________________________________

   ______________________________________________________________________

   ______________________________________________________________________

   ______________________________________________________________________

   ______________________________________________________________________


   Upon receipt of the registration key, I hereby promise that I will
   be the only one using this key.  I will not give it out to anybody,
   no matter how much they beg and cry, it is for my use only.

   I understand that if I give this key out, or it is removed from my
   possession, I am in violation of this agreement.  I also understand
   that upon violation of this agreement, legal action may be taken
   against myself.


                  ______________________________  ___/___/_____
                     (Your signature, in ink)        (date)


   Send your registration to :    Ice Technologies Registrations
                                  Vince Maggio
                                  11A Rhein str
                                  69126 Heidelberg
                                  Germany
