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Pro-Wizard-v2.11
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PW21_OrderForm
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1994-12-25
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5KB
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65 lines
*************************************************************************
* *
* P R O - W I Z A R D - 2 R E G I S T R A T I O N F O R M *
* *
*************************************************************************
* *
* To become a registered user, please fill up this order form *
* and send your donation of : 50 FF / US $15 / 20 DM *
* to the following address : *
* *
* Nicolas FRANCK *
* 157, Rue de Strasbourg *
* 77350 LE MEE SUR SEINE *
* ------- FRANCE ------- *
* *
* Note : Foreigners should send CASH or EUROCHEQUES-(70 FF) ONLY !! *
* Les utilisateurs francais, par contre, devraient plutôt *
* m'envoyer un chèque bancaire ou postal normal, libellé à *
* l'ordre de 'Mr Nicolas FRANCK' , ou bien sur, *
* la somme en espèces (billet). *
* *
* You'll get back the latest version of Pro-Wizard II without *
* these boring requesters ;-) and some bonus stuff, modules... *
* *
*************************************************************************
* *
* Name_____________________________________________________________ *
* *
* Address__________________________________________________________ *
* *
* Postal Number______________ Town______________________________ *
* *
* State______________________ Country___________________________ *
* *
* E-Mail (if any)__________________________________________________ *
* *
* Optional Informations : *
* ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯ *
* Pro-Wizard version_______________________________________________ *
* *
* Amiga______________________ Kickstart(s)______________________ *
* *
* Processor__________________ Co-Processor______________________ *
* *
* CHIP-RAM___________________ FAST-RAM__________________________ *
* *
* HardDisk ? YES ( ) - NO ( ) --> _______ Meg *
* *
* Action Replay (or equiv) ? YES ( ) - NO ( ) *
* *
* Comments / BugReports / Suggestions : *
* _________________________________________________________________ *
* *
* _________________________________________________________________ *
* *
* _________________________________________________________________ *
* *
* _________________________________________________________________ *
* *
*************************************************************************
* *
* Date_______________________ Signature : *
* *
*************************************************************************