+------------------------------------+
                 | Order Form for ROSE SWE's HackStop |#
                 +------------------------------------+#
                  ######################################
	($Id: register.txt,v 2.11 2008/03/06 19:54:56 Ralph Exp $)

    Name: _______________________________________________________________

    Company (optional): _________________________________________________

    Address: ____________________________________________________________

    City,State,Zip: _____________________________________________________

    Country: ____________________________________________________________

    Where did you get HackStop from?: ___________________________________

    What version of HackStop do you use?: _______________________________

    Date: __________________    Signature: ______________________________

----------( Version )---------

( )  Normal Registration, Euro 10,--
     Personalized Text: "Registered version of HS!"
or
( )  Personalized Registration, Euro 20,--  [please don't use (c) by...]

     Text (up to 4 lines): ______________________________________________

     ____________________________________________________________________

     Personalized versions are a little bit harder to attack than the
     normal versions. As a bonus all HackStop'ed programs carries your
     personalized text inside!  >>>>>       No text wanted at all: ( )

( )  Please add Euro 5,-- extra for outside Europe if we shall mail you
     HackStop. Delivery via email is free!

     Disk Size:  3.5" // CD-ROM

---------( Payment )---------

( )  I have enclosed an Check for registering HackStop. Checks must
     be drawn in Euro! Please use non negotiable checks!

( )  I have transferred the money (ONLY in Euro) to your account:
     >> Non German users (Europe):
        Ralph Roth, IBAN DE37 5105 0015 0238 1111 29
        	    SWIFT-BIC:NASSDE5XX

     >> German users or Worldwide:
        Ralph Roth, Account Number 238111129, BLZ:  510 500 15
        Nassauische Sparkasse

( )  I have enclosed the money in bills at my own risk! Use a registered
     letter if you have doubts! Cash in Euro or US$ is accepted.

We can not accept credit cards! Do not send coins!

Please send to
~~~~~~~~~~~~~~
     ROSE SWE
     Dipl.-Ing. Ralph Roth
     An den Weingärten 25
     D 65611 Oberbrechen
     Germany

Thank you for registering HackStop!  Origin: 1.22b343 (06/03/2008)