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Text File  |  1999-02-18  |  2KB  |  32 lines
  1.                 --- BlockForge 1.0.1 Registration Form ---
  2. -----------------------------------------------------------------------------
  3. Requiced information: You must fill in all of these entries in order to
  4. register properly
  5. -----------------------------------------------------------------------------
  6.  
  7.               Your Name: ____________________________________________________
  8. Company Name (optional): ____________________________________________________
  9.  
  10.     Request license for: ( ) Personal Name         ( ) Company Name
  11.  
  12. Email address (REQUICED): ___________________________________________________
  13.  
  14. -----------------------------------------------------------------------------
  15. Survey information: Not requiced for registration but makes me happy
  16. -----------------------------------------------------------------------------
  17.  
  18. Country: ______________________       City: _________________________________
  19.     Age: _____                  Occupation: _________________________________
  20.  Gender: ( ) Male  ( ) Female  ( ) Other
  21.  
  22. Where did you find/hear about this game?
  23.  
  24. [ ] Info-mac           [ ] Other FTP site: __________________________________
  25. [ ] www.SHAREWARE.com  [ ] Other site: ______________________________________
  26. [ ] www.DOWNLOAD.com   [ ] a Magazine: ______________________________________                     [ ] Our website        [ ] on a CDROM: ______________________________________
  27. [ ] From a friend      [ ] Other:      ______________________________________
  28.  
  29. Other comments:
  30. _____________________________________________________________________________
  31. _____________________________________________________________________________
  32. _____________________________________________________________________________