ExLife, ExSign, CaBook
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MS Exchange Client / Windows Messaging / Outlook 97 Extension for
Windows 95/NT


Copyright (c) 1996-97 Ludek Mokry. All rights reserved.

Date: May 11th 1997




REGISTRATION FORM
==================

Author (send form on this address - by email, fax or mail)
==========================================================

   Ludek Mokry
   9. kvetna 263
   664 61 Rajhrad
   Czech Republic

   Fax:   +420-5-47230228

   Email: ludek@mokry.cz
   Web:   http://www.mokry.cz




REGISTER TO
===========

Name:             _______________________________________________

Address:          _______________________________________________

City, Zip, State: _______________________________________________

Country:          _______________________________________________

Phone:            _______________________________________________

Telefax:          _______________________________________________

E-mail:           _______________________________________________


ONLY FOR COMPANIES
==================

Company:          _______________________________________________

Address:          _______________________________________________




MAILING/PAYMENT
===============

ExLife (delivery by email)
   [ ] REGISTRATION FEE . . . . . . . . . . . . . . . . . US $ 20

ExSign (delivery by email)
   [ ] REGISTRATION FEE . . . . . . . . . . . . . . . . . US $ 20

ExLife & ExSign bundle (delivery by email)
   [ ] REGISTRATION FEE . . . . . . . . . . . . . . . . . US $ 25

CaBook (delivery by email)
   [ ] REGISTRATION FEE . . . . . . . . . . . . . . . . . US $ 15

ExLife update from ExSign (delivery by email)
   [ ] REGISTRATION FEE . . . . . . . . . . . . . . . . . US $ 10

ExSign update from ExLife (delivery by email)
   [ ] REGISTRATION FEE . . . . . . . . . . . . . . . . . US $ 10

Extra fee - Delivery by Post (to the home address above)
   [ ] REGISTRATION FEE . . . . . . . . . . . . . . . . . US $ 10

Total . . . . . . . . . . . . . . . . . . . . . . . . . US $ ____




PAYMENT POSSIBILITIES
=====================

   [ ] CASH - send it to my address
   [ ] ONLINE CREDIT CARD REGISTRATION - this is the best
       possibility (http://www.mokry.cz/exchange/registration.htm)
   [ ] CREDIT CARD
       [ ] MasterCard
       [ ] Visa
       [ ] American Express

       Card holder's name: ______________________________________

       Card number:        ______________________________________

       Expiry:             ______________________________________

   [ ] OFFLINE CREDIT CARD/CHEQUE REGISTRATION - see details on my
       WEB (http://www.mokry.cz/exchange/registration.htm) or read
       Register.txt. For this possibility you have to fill the
       form in Register.Exe program and decide the way of delivery
       filling information (email, fax, mail). Register.Exe you
       can find in ExLife pack or on my WEB
       (http://www.mokry.cz/exchange/registration.htm).




WHERE DID YOU GET YOUR COPY OF EXLIFE, EXSIGN ?
===============================================

_________________________________________________________________

_________________________________________________________________




IDEAS AND/OR SUGGESTIONS FOR FUTURE VERSIONS OF EXLIFE, EXSIGN ?
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_________________________________________________________________

_________________________________________________________________






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           Date                                Signature
