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Text File  |  1998-09-27  |  2KB  |  75 lines
  1.  
  2.              V I R T U A L   W O R L D S   P R O D U C T I O N S 
  3.              ---------------------------------------------------
  4.                          
  5.                            R e g i s t e r f o r m 
  6.                                 
  7.                    See the VIRTUAL_News for actual prices
  8.  
  9. ---------------------------------------------------------------------------
  10.  
  11.  
  12. Name          : _______________________________________________________
  13.  
  14.  
  15. Address       : _______________________________________________________
  16.  
  17.  
  18.                 _______________________________________________________
  19.               
  20.  
  21.                 _______________________________________________________
  22.  
  23.  
  24. Country       : _______________________________________________________
  25.                 
  26.  
  27. Phone         : _______________________________________________________
  28.  
  29.  
  30. eMail         : _______________________________________________________
  31.  
  32.  
  33. Hardware      : _______________________________________________________
  34.  
  35. Register for   
  36. following products : _______________________________________________________
  37.                   
  38.                   
  39.                      _______________________________________________________
  40.  
  41.  
  42. Payment   : [ ] Eurocheques
  43.                 - filled out completely
  44.  
  45.             [ ] Money-Transfer to this account:
  46.                 - account owner: Michael Pfeiffer
  47.                 - bank: Sparda-Bank Muenchen eG, Germany
  48.                 - bank-code: 700 905 00
  49.                 - account number: 118 57 48
  50.                 - include a copy of the receipt with this form
  51.  
  52.             [ ] Cash
  53.  
  54. Lieferweise:   [ ] by mail on a branded 3.5" disk
  55.                [ ] by eMail, uuencoded
  56.                [ ] by eMail, MIME-encoded
  57.  
  58. I install the keyfile only on my Amiga and don't copy this one to thirds.
  59.  
  60.  
  61.  
  62. ____________________   _______________________________________
  63.         date                          signature
  64.  
  65.  
  66.  
  67. We will send your keyfile, when we received the money.
  68.  
  69. ---------------------------------------------------------------------------
  70. eMail: Oxygenic@t-online.de (Subject:VWP-Register)
  71. Mail : Michael Pfeiffer
  72.        Riegerhofstr. 15
  73.        80686 Muenchen
  74.        Germany
  75.