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Text File  |  1995-12-11  |  2KB  |  43 lines
  1.     -----------------------------------------------------------------
  2.    + AutoStereoGram Producer By Justin J A Smith - Registration Form +
  3.     -----------------------------------------------------------------
  4.     Please make cheques or postal orders payable to
  5.     "JUSTIN J A SMITH" and post to:
  6.  
  7.                            Justin J A Smith, 
  8.                            4 Sorrel Close,
  9.                            Royston,
  10.                            Herfordshire,
  11.                            SG8 9TL.
  12.  
  13.     -----------------------------------------------------------------
  14.     ASG Registration fee is a minimum of £5 please send more if you
  15.     think that the program is worth it.
  16.     For this you will recieve a registered personalised copy of the
  17.     most recent version of ASG.
  18.  
  19.     I enclose £_______ as payment for a registered copy of ASG.
  20.  
  21.          Tick One: 5 1/4" Disk                               [  ]
  22.                    3 1/2" Disk                               [  ]
  23.     -----------------------------------------------------------------
  24.     Purchaser's Name and Address:
  25.     (printed in block capitals)
  26.  
  27.  
  28.  
  29.  
  30.     -----------------------------------------------------------------
  31.     User name (up to 20 characters):
  32.  
  33.  
  34.     -----------------------------------------------------------------
  35.     Company name (up to 20 characters):
  36.  
  37.  
  38.     -----------------------------------------------------------------
  39.  
  40.                    Signature: ______________________________________
  41.  
  42.                         Date: ______________
  43.