
 -----------------------------------------------------------------------------
                  Ice Utilities - UK / Eire 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, or cheques drawn on a UK bank.
    All payments must be in UK Sterling. Please add 5% bank charge, if
    paying by credit card.

   Programs registering: IceBank, Deluxe TimeBank System     [ ] œ12
                         IceChat, Deluxe Splitscreen Chatter [ ] œ12
                         IceEdit, Deluxe FullScreen Editor   [ ] œ12
                         IceNote, Note To All Users Door     [ ] œ10
                         IceUser, RA Online User Editor      [ ] œ10

   Payment method:       Cash                                [ ]
                         Cheque                              [ ]
                         GIRO                                [ ]
                         Credit Card (Remember to add 5%)    [ ]

                          Total registration cost (UKP)   œ________

    Make cheque or money order payable to: "Minerva Online Ltd"

    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 us prior to receiving your key(s).

    You may upload the completed registration form to Minerva Online
    (+44-(0)181-402-3350 ... 28 lines), by renaming it in the format
    <your surname>.ICE, and marking it for "sysop only". Please also
    include a copy of the form with your payment, if you are sending
    the payment by post.

    For credit card payments:

            The following information will be needed for processing:

            Username: ___________________________________

            Cardtype: Visa/Access/MasterCard/Barclaycard ________

            Cardowner: __________________________________
            (EXACTLY as name appears on card)

            Cardnumber:____-____-____-_____

            Expiration: (00/00): ____

            Cardholder's address (if different from above)

            _____________________________________________

            _____________________________________________

            _____________________________________________


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

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

   If you want your key by post (Include additional œ2 for Disk)
   ----------------------------
   Disk format : [ ] 3.5"
                 [ ] 5.25"

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

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

   Session pwd : [________]

   Our FIDO addresses are:

      2:254/33 - VFC/V34 28k8 v32bis.
      2:25/60  - VFC/V34 28k8 v32bis.
      2:2/44   - VFC/V34 28k8 v32bis.

   Please tick one :  [_] I will poll for my key from one of the above nodes
                      [_] 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 :    Minerva Online Ltd
                                  (IceSoft Registrations)
                                  Badentoy Crescent
                                  Badentoy Industrial Estate
                                  Portlethen
                                  ABERDEEN
                                  Scotland     AB1 4YD


