Name: _____________________________________________________________________

Address: __________________________________________________________________
        
         __________________________________________________________________
         
         __________________________________________________________________
         
Country: __________________________________________________________________

Internet Address: _________________________________________________________


Telephone Number: _________________________________________________________





Computer: ____________________________________

Processor: ___________________________________

Speed (MHz): _________________________________

Memory (MB): _________________________________

You own:

       ( ) Toccata 16
       ( ) Maestro Pro
       ( ) Neither
       
Kickstart version: ___________________________

Workbench version: ___________________________


Name of favourite aunt: ______________________

Age of pet dog, Fido: ________________________

Name of first born: __________________________

Amount of liquids spilled in computer to date: __________________________

Are you still filling this out? _________________________________________

Why? ____________________________________________________________________

Can you stand on your head? _____________________________________________

Why do you think I'm asking all these stupid questions? _________________

Will you buy me a 1995 Firebird Trans Am GT Six Speed? __________________

_hy or Why not? _________________________________________________________

What did I ever do to you? ______________________________________________

Aww c'mon, please? ______________________________________________________

You want ME to stand on MY head? ________________________________________

Why? ____________________________________________________________________