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/ Jumbo 2,500 Game Pack / DDVDAV937D1.iso / sharewarefin / TRACK32.ZIP / regform.txt < prev    next >
Text File  |  1996-11-26  |  2KB  |  69 lines
  1.  
  2. Name (please print)________________________________________________________
  3.  
  4. Address ___________________________________________________________________
  5.  
  6.         ___________________________________________________________________
  7.  
  8.         ___________________________________________________________________
  9.   
  10. City    ___________________________________________________________________
  11.  
  12. St./Prov. _________________________________________________________________
  13.  
  14. ZIP/PostCode ______________________________________________________________
  15.  
  16. Country ___________________________________________________________________
  17.  
  18. Phone/Fax _________________________________________________________________
  19.  
  20. E-Mail ____________________________________________________________________
  21.  
  22.  
  23. Thank you for your registration fee!
  24. Please make cheques payable to "Derek Smith".
  25.  
  26. Send to either:
  27.  
  28.     80 Ashford Crescent,
  29.     Mannamead,
  30.     Plymouth,
  31.     Devon PL3 5AD,
  32.     England.
  33.  
  34. Or:
  35.     Hugo-Mueller-Strasse 32,
  36.     46562 Voerde,
  37.     Germany.
  38.  
  39.  
  40. Where do you obtain track ?
  41.  
  42.   [ ] CompuServe
  43.   [ ] America Online
  44.   [ ] Other BBS -- Please write name:
  45.   [ ] Shareware catalog -- Please write name:
  46.   [ ] Work, a friend or a relative
  47.   [ ] CD-ROM disk
  48.   [ ] Other:_______________________________________________________________
  49.  
  50.  
  51. What do you like/dislike about track ?
  52.  
  53. ___________________________________________________________________________
  54.  
  55. ___________________________________________________________________________
  56.  
  57. ___________________________________________________________________________
  58.  
  59.  
  60. Suggestions about track ?
  61.  
  62. ___________________________________________________________________________
  63.  
  64. ___________________________________________________________________________
  65.  
  66. ___________________________________________________________________________
  67.  
  68. Once again, thank you!
  69.