
                          Register Form

Thanks supporting the development of codesafe .

Registration form for CodeSafe 
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Last name: ___________________________________

First name: ____________________________________

E-Mail: ______________________________________

Street and #: ______________________________________

City, State, postal code: ________________________________

Country: _______________________________________

Phone: _____________________________________

Fax: ________________________________________

Where Did you get Codesafe?  ________________________________

Payment Method:
Check_ MoneyOrder __ Cash  ____ Bank Transfer__

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My Address:(Warning:This Address is available until JULY ,1998 .)
Zhang Dehua
Room 403 Building 25th
Tsinghua University
Beijing, P.R. China
ZIP: 100084

My Bank Account:
Name:  ZHANG DEHUA
A/C NO:4080603-2014-006946-9
Bank:  Bank of China City Branch Beijing Qinghua Yuan Savings Office



