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/ Amiga Format CD 52 / Amiga Format AFCD52 (Issue 136, May 2000).iso / -in_the_mag- / multitasking / feature / executive_v2.10 / data / register.lha / RegForm_Ascii next >
Text File  |  1997-02-23  |  2KB  |  65 lines

  1.  
  2. ##    ## #####  ####  ##
  3.  ##  ##  ##    ##     ##
  4.   ####   ####   ###   ##
  5.    ##    ##       ##
  6.    ##    ##### ####   ##     Please send me a keyfile for Executive!
  7. ___________________________________________________________________________ 
  8.  
  9.  
  10. Name:        
  11.  
  12. Address:    
  13.             
  14.             
  15.             
  16.              
  17.  
  18. Email:       
  19.  
  20.  
  21. Payment by: [ ] Cash (please don't send coins)
  22.                 [ ] $15 (US dollar)
  23.                 [ ] £10 (Pound sterling)
  24.                 [ ] 20 CAD (Canadian dollar)
  25.                 [ ] 20 AUD (Australian dollar)
  26.                 [ ] 70 FIM (Finnish mark)
  27.                 [ ] 20 DEM (Deutsche mark)
  28.                 [ ] 100 NOK (Norwegian krone)
  29.                 [ ] 100 SEK (Swedish krona)
  30.                 [ ] 500 BEF (Belgian franc)
  31.                 [ ] 70 FRF (French franc)
  32.                 [ ] 25 NLG (Dutch guilder)
  33.                 [ ] 100 DKK (Danish krone)
  34.             [ ] Eurocheque for 70 FIM
  35.                 - you must write your card number on the back of the cheque
  36.             [ ] Money transfer of 70 FIM to this account:
  37.                 - bank: Postipankki Ltd, Helsinki, Finland
  38.                 - account number 8000 29-26522193
  39.                 - pay via Eurogiro or SWIFT
  40.                 - SWIFT address: PSPBFIHH; Telex 121 698 pgiro fi
  41.                 - include a copy of the receipt with this form
  42.             [ ] Postal Money Order
  43.                 - please mail or email this registration form to me
  44.             [ ] Postiennakko (Finland only)
  45.                 - postiennakkomaksu 20 mk lisätään hintaan (70+20=90 mk)
  46.  
  47.  
  48. Delivery:   [ ] by airmail on a 3.5" disk
  49.             [ ] keyfile emailed to you
  50.  
  51.  
  52.  
  53.  
  54. ___________________   ________________________________________
  55. date                  signature 
  56.  
  57.  
  58. Thank you for registering Executive! 
  59.  
  60. ___________________________________________________________________________
  61. Petri Nordlund        email: petrin@megabaud.fi
  62. Vanhamaantie 4               petrin@vtoy.fi
  63. FIN-28800  PORI
  64. FINLAND               WWW:   http://www.megabaud.fi/~petrin/Executive.html
  65.