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- MicroMixer Registration Form
- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~
- Please fill up all the blanks in the form. The author reserves the right to
- reject any forms that are not properly filled. Registration charges can be
- found at the bottom of this form.
-
- ............................................................................
-
- 1. Name:___________________________________________________________________
-
- 2. Please tick one of the following options:
-
- [ ] I would like to receive MicroMixer via e-mail(Internet) or
- [ ] I would like to receive MicroMixer via postal mail.
-
- 3. Please fill-in the following with regard to your choice made in 2:
-
- E-Mail Address:_________________________________________________________
-
- or
-
- Postal Address:_________________________________________________________
-
- _________________________________________________________
-
- _________________________________________________________
-
- 4. Enclosed is my Money Order or Cash of:
-
- [ ] S$____ (for Singapore users)
- [ ] US$____ (for overseas users)
-
- 5. My comments or suggestions for MicroMixer (if any):
-
- ________________________________________________________________________
-
- ________________________________________________________________________
-
- ________________________________________________________________________
-
- ________________________________________________________________________
-
- ________________________________________________________________________
-
- ............................................................................
-
- REGISTRATION CHARGES
- ~~~~~~~~~~~~~~~~~~~~
- Registration fee is S$10 for Singapore users or US$10 for overseas users.
- A postal fee of S$5 for Singapore users or US$5 for overseas users is to be
- included for users who want to receive MicroMixer via postal mail.
-
- * Note: Distributions via postal mail are done with 3.5" disks.
-
- Please make all Money Orders payable to Yip Kah Heng.
-
- ............................................................................
-
- REGISTRATION ADDRESS
- ~~~~~~~~~~~~~~~~~~~~
- Please send all registration forms to the address below:
-
- Yip Kah Heng
- Blk 634, #02-52
- Yishun Ring Road
- Singapore 760634
- Republic of Singapore
-