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Visual Prolog Registration Form

Prolog Development Center
A/S H.J. Holst Vej 3-5C
DK - 2605 Broendby, Copenhagen
Fax: +45 3636 0000

Please fill out the form below and send it to us by pressing the Register Now button. If you do not have Internet E-mail access please print the form and fax it to us.

Product Name:  
Product
serial number:
 
Customer Name:  
Company Name:  
Address:  
City:  
State / Country:  
Zip code:  
Phone Number:  
FAX Number:  
E-mail:  
Purchase date:   YYMMDD (970401)
Purchased from:  
Your computer type:  
Amount of RAM:   MB
Screen type:  
Modem:  
Operating system used:  
Comments:  

   

Send E-mail to sales@visual-prolog.com

PDC Home Page

By sending this registration form to PDC, you can obtain free support.