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1995-03-13
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1KB
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54 lines
____________________________________________________________________________
PLEASE FILL THIS OUT (READABLE) AND SEND IT TO ONE OF THESE ADRESSES
P.Schnitzler J.Herrmann
Heintgesweg 57 oder Lorenz-Görtz-Str.23
D-4050 Mönchengladbach 2 D-4050 Mönchengaldbach 2
G E R M A N Y
____________________________________________________________________________
B R E A K I N - REGISTRATION
[ ] BREAKIN............................. $15 (foreign countries)
Shipping & Handling (INCL.)
Total enclosed __________
IMPORTANT! Circle disk size: 5.25 OR 3.5
CPU: 286 386 486
Is this your first order from ASG? YES NO
Name: _______________________________________________
Address: _______________________________________________
City, ST Zip: ___________________________________ Phone: _________________
Payment by: [ ] Money order
............. ........................
Date Signature
___________________________________________________________________________
THE ACIDMAN OF SCORE GROUP
___________________________________________________________________________