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CD ROM Paradise Collection 4
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CD ROM Paradise Collection 4 1995 Nov.iso
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fmed101.zip
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REGISTER.FRM
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Text File
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1994-12-28
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2KB
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87 lines
MAIL OR FAX THIS FORM TO:
CD ROM PARADISE SRL
P.O. BOX 10177
20100 MILANO
ITALY
FAX# +39-2-70603189
COMMERCIAL ORDER:
n. ___ Copies of FMED 1.0 x 55 (USD) = __________ $
(ITALIA L.100.000+IVA19%)
The price include worldwide
shipping via air mail of registered
copies and registration benefits.
See readme.txt for registration benefits.
NAME: _____________________________________
ADDRESS: _________________________________
_________________________________
_________________________________
_________________________________
_________________________________
BILL MY : VISA [ ] MASTERCARD [ ] CARTASI' [ ] EUROCARD [ ]
CREDIT CARD NUMBER ____ ____ ____ ____
EXPIRES: __ ____
DATE OF BIRTH OF CREDIT CARD HOLDER __ __ ____
SIGNATURE: ___________
DATE: __ __ ____
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Please answer the following questions:
Where did you obtain this software from?
[ ] Internet site
please state internet address _____________________
[ ] Bulletin board system
please state BBS name and number, including prefixes
_____________________
[ ] CD ROM Collection
please state name, and date of CD ROM
_____________________
_____________________
[ ] Shareware Vendor
which one? _____________________
Do you own a CD ROM reader? Yes [ ] No [ ]
How could we improve this product?
(use how much space as you need for this question)
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