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/ Joystick Magazine 1995 July & August / cd No4 joystick No62.iso / pc / cadeaux / 3d / register.frm < prev   
Text File  |  1995-05-10  |  1KB  |  41 lines
  1.                            3DS2IM -- Registration form
  2.  
  3. Quantity
  4.  
  5. ____       3DS2IM version 1.0 single-user registration ......   $ ______
  6.            ($15, will immediately receive official registered version)
  7.            (Non-U.S./Canadian residents:  $17)
  8.  
  9.     (Only if you want shipping on disk)   Shipping and Handling $   3.00
  10.                                            
  11.                                                           Total $ ______
  12.      Payment by:  ( ) Check 
  13.                   ( ) Money Order
  14.  
  15. Diskette format:  ( ) 5.25" (1.2Mb) disk
  16.                   ( ) 3.5" (1.44Mb) disk
  17.  
  18.      Name: _____________________________________________________________
  19.  
  20. (Company): _____________________________________________________________
  21.  
  22.   Address: _____________________________________________________________
  23.   
  24.          : _____________________________________________________________
  25.     
  26.          : _____________________________________________________________
  27.  
  28.  
  29. Remit to:                 Andrey A. Zmievskiy
  30.                           7500 Lincolnshire Rd.
  31.                           Lincoln, NE 68506
  32.  
  33. Features you find most useful:
  34.  
  35.  
  36. Features you find least (or not at all) useful:
  37.  
  38.  
  39. Features you would like to see added (use additional pages, if necessary):
  40.  
  41.