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Text File  |  1996-01-28  |  2KB  |  53 lines
  1.  
  2.                        Registration form for Vinci
  3.                        ===========================
  4.  
  5.     The following personal data will only be seen and stored by the author
  6.     of Vinci, Martin Wulffeld, and will NOT be made accesible to anyone
  7.     else. Cross my heart and so on :-)
  8.  
  9.     If you have printed this PLEASE WRITE LEGIBLY!
  10.  
  11.  
  12. -----------------------------------------------------------------------------
  13.  
  14.                     Full name:______________________________________
  15.  
  16.                  Full address:______________________________________
  17.  
  18.                               ______________________________________
  19.  
  20.                               ______________________________________
  21.  
  22.                               ______________________________________
  23.  
  24.                               ______________________________________
  25.  
  26.  
  27.          Private phone number:+___-(____)-_________________
  28.  
  29.               Fidonet address:____:____/____.____
  30.  
  31.                Amynet address:____:____/____.____
  32.  
  33.           Other email address:______________________________________
  34.  
  35.       Complaints, wishes etc.:______________________________________
  36.  
  37.                               ______________________________________
  38.  
  39.                               ______________________________________
  40.  
  41.           May I put your name:
  42.      on registered users list:______
  43.  
  44.         Your version of Vinci:______
  45.  
  46.            Tick the following:
  47.  
  48.                    I pay cash:__    I pay via bank transfer:__
  49.  
  50. -----------------------------------------------------------------------------
  51.  
  52.    REFER TO MAIN DOCUMENTATION FOR THE FULL DETAILS ON HOW TO REGISTER.
  53.