[ m p 3 - e x p l o r e r ] - r e g i s t r a t i o n - f o r m
[ u s e r - i n f o r m a t i o n ]
Last Name : ________________________________________________
First Name : _______________________________________________
Street : ___________________________________________________
City : ___________________________________ ZIP:_____________
State/Prov : ________________ Country : ____________________
Email : ____________________________________________________
How did you hear about MP3 Explorer ? : ____________________
[ r e g i s t r a t i o n - p r i c e ]
Registration
options |
Qty | Price | Total US$ | |
Minimum
registration |
_____ | 10 | _____ | |
Addicted
user |
_____ | 20 | _____ | |
Well-off
and addicted user |
_____ | 30 | _____ | |
Total | _____ |
[ r e g i s t r a t i o n - k e y - m a i l i n g ]
Send the registration key to :
[ ] the email address mentioned above
[ ] the postal mail address mentioned above
[ p a y m e n t - t e r m s ]
The registration fee is:
[ ] included as cash (US$)
[ ] included as traveller check (US$)