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1990-02-12
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2KB
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61 lines
╘O: ╓IDEO├AM ╙ERVICES/╥OD ╟ASSON
90 ╚ILLIERS ╥D.
╥EYNELLA 5161
╙TH.┴USTRALIA
╨LEASE SUPPLY THE CODES REQUIRED TO REGISTER ╤╫╦╥╥128
AT THE COST OF ┴UST$20.00
╔ ENCLOSE MY CHEQUE/MONEY ORDER IN PAYMENT.
OR
╨LEASE CHARGE THIS REGISTRATION TO MY CREDIT CARD.
┬ANKCARD/╓ISA/═ASTERCARD (CROSS OUT INAPPLICABLE) .
---------------------------------------------
├ARD ╬O. : : : : : - : : : : : - : : : : : - : : : : :
---------------------------------------------
┼XPIRY ─ATE: ............ ╘ODAYS ─ATE: ...............
╬AME ON CARD: .........................................
┴DDRESS OF
CARDHOLDER: .........................................
.........................................
.........................................
╙IGNATURE OF CARDHOLDER: ..............................
╬AME(S) TO REGISTER: 1)................................
(25 CHARACTER MAX)
2)................................
─ELIVERY ADDRESS (IF DIFFERENT TO ABOVE)
.........................................
.........................................
.........................................
╞IDO ┴DDRESS .........................................
╔S THERE ANYTHING YOU'D LIKE DONE TO ╤╫╦╥╥128 ?
╞EATURES / ╧PTIONS / ╔MPROVEMENTS ?
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