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Text File  |  1997-04-05  |  1KB  |  48 lines
  1.                                                    I Ching Connexion Registration Form
  2.                                         version 2.3.1
  3.  
  4.  
  5. Name:    _______________________________________
  6.  
  7. Address:    _____________________________________
  8.             
  9. City: ________________________________________
  10.  
  11. State : _____________________   Zip: ______________
  12.  
  13. Country: _____________________________________
  14.  
  15.  
  16. Internet address: _______________________________
  17.  
  18.                          
  19. Registration code delivery method: (please check the method you prefer)
  20. ____ Internet E-mail
  21. ____ Paper Mail
  22.  
  23.  
  24. How and when did you obtain the I Ching Connexion program:
  25. ________________________________________________________
  26. ________________________________________________________
  27.                            
  28. Comments & suggestions:
  29. ________________________________________________________
  30. ________________________________________________________
  31. ________________________________________________________
  32. ________________________________________________________
  33.  
  34.  
  35. Please fill out this form and send it with US$20 cash
  36. (or the equivalent in a major currency) to:
  37.  
  38. MindSports
  39. Ed van Zon
  40. P.O. Box 266
  41. 6700 AG  Wageningen
  42. Netherlands.
  43.  
  44. After receipt of the shareware fee, I will send you the registration code asap.
  45. 50% of the contributions I receive will be donated to UNICEF.
  46.  
  47. Thank you so much for your support!
  48.