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Text File  |  1994-08-15  |  4KB  |  55 lines

  1. +------------------------------------------------------------------------+
  2. |  Ferns' Graphics Library v1.2 Registration form                        |
  3. |------------------------------------------------------------------------|
  4. |  Send to :                                                             |
  5. |            Ferns Paanakker                                             |   
  6. |            Looikolkstraat 2                                            |
  7. |            7451 EP Holten                                              |
  8. |            The Netherlands                                             |  
  9. |------------------------------------------------------------------------|
  10. |  Full name and address and telephone (PLEASE PRINT) :                  |
  11. |                                                                        |
  12. |                                                                        |
  13. |                                                                        |
  14. |                                                                        |
  15. |                                                                        |
  16. |                                                                        |
  17. |                                                                        |
  18. |                                                                        |
  19. |------------------------------------------------------------------------|
  20. |  How did you acquire Ferns' Graphics Library ?                         |
  21. |   [ ] Local BBS name   :                                               |
  22. |       City/Country     :                                               |
  23. |       Telephone number :                                               |
  24. |   [ ] Distributor name :                                               |
  25. |   [ ] Friend/associate                                                 |
  26. |   [ ] Other            :                                               |
  27. |------------------------------------------------------------------------|
  28. |  Pricing :                          Holland     Elsewhere              |
  29. |                                     -------     ---------              |
  30. |  3½inch disk with library                                              |
  31. |  and doc files                      ƒ 30.00      $ 25.00               |
  32. |                                                                        |
  33. |  Shipping and handling                                                 |
  34. |  (add this amount always)           ƒ  5.00      $ 10.00               |
  35. |                                                                        |
  36. |                                     -------     ---------              |
  37. |  Total (enclosed in cash or check)  ƒ 35.00      $ 35.00               |
  38. |                                     =======     =========              |
  39. |                                                                        |
  40. |                                                                        |
  41. |                                                                        |
  42. |  If you have any suggestions, comments, or bug reports, please         |
  43. |  describe them on the back of this form or on another sheet of paper.  |
  44. |                                                                        |
  45. |                                                                        |
  46. |  I acknowledge that I have read the license terms as described in the  |
  47. |  Ferns' Graphics Library documentation, that I understand these terms, |
  48. |  and that I agree to be bound by them.                                 |
  49. |                                                                        |
  50. |                                                                        |
  51. |  Signature: _______________________________  Date: _________________   |
  52. |                                                                        |
  53. |                                                                        |
  54. +------------------------------------------------------------------------+
  55.