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/ Aminet 28 / Aminet 28 (1998)(GTI - Schatztruhe)[!][Dec 1998].iso / Aminet / misc / sci / Framsticks.lha / FramsticksInstall / docs / a / order.txt < prev   
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Text File  |  1998-05-27  |  798 b   |  30 lines
  1. ** Registration Form **
  2.  
  3.  
  4. Your Name: ____________________________________________________
  5.  
  6. [Company]: ____________________________________________________
  7.  
  8. [Title]  : ____________________________________________________
  9.  
  10. Your Full Address:_____________________________________________
  11.  
  12.               _____________________________________________
  13.  
  14.                   _____________________________________________
  15.  
  16. Country  : ___________________
  17.  
  18. [Phone]  : ___________________
  19.  
  20. Email    : ____________________________________________________
  21.  
  22. Number Of Standard version codes requested at $15.00 each: ____
  23.  
  24. Number Of Full version codes requested at $25.00 each:     ____
  25.  
  26. Comments : ____________________________________________________
  27.  
  28.            ____________________________________________________
  29.  
  30.