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Text File | 1999-02-18 | 1.7 KB | 32 lines | [TEXT/ttxt] |
- --- BlockForge 1.0.1 Registration Form ---
- -----------------------------------------------------------------------------
- Requiced information: You must fill in all of these entries in order to
- register properly
- -----------------------------------------------------------------------------
-
- Your Name: ____________________________________________________
- Company Name (optional): ____________________________________________________
-
- Request license for: ( ) Personal Name ( ) Company Name
-
- Email address (REQUICED): ___________________________________________________
-
- -----------------------------------------------------------------------------
- Survey information: Not requiced for registration but makes me happy
- -----------------------------------------------------------------------------
-
- Country: ______________________ City: _________________________________
- Age: _____ Occupation: _________________________________
- Gender: ( ) Male ( ) Female ( ) Other
-
- Where did you find/hear about this game?
-
- [ ] Info-mac [ ] Other FTP site: __________________________________
- [ ] www.SHAREWARE.com [ ] Other site: ______________________________________
- [ ] www.DOWNLOAD.com [ ] a Magazine: ______________________________________ [ ] Our website [ ] on a CDROM: ______________________________________
- [ ] From a friend [ ] Other: ______________________________________
-
- Other comments:
- _____________________________________________________________________________
- _____________________________________________________________________________
- _____________________________________________________________________________