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Text File  |  1994-12-25  |  5KB  |  65 lines

  1.   *************************************************************************
  2.   *                                                                       *
  3.   *    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    *
  4.   *                                                                       *
  5.   *************************************************************************
  6.   *                                                                       *
  7.   *      To become a registered user, please fill up this order form      *
  8.   *        and send your donation of :  50 FF  /  US $15  /  20 DM        *
  9.   *                     to the following address :                        *
  10.   *                                                                       *
  11.   *                           Nicolas FRANCK                              *
  12.   *                       157, Rue de Strasbourg                          *
  13.   *                       77350 LE MEE SUR SEINE                          *
  14.   *                       ------- FRANCE -------                          *
  15.   *                                                                       *
  16.   *   Note : Foreigners should send CASH or EUROCHEQUES-(70 FF) ONLY !!   *
  17.   *          Les utilisateurs francais, par contre, devraient plutôt      *
  18.   *          m'envoyer un chèque bancaire ou postal normal, libellé à     *
  19.   *          l'ordre de 'Mr Nicolas FRANCK' , ou bien sur,                *
  20.   *          la somme en espèces (billet).                                *
  21.   *                                                                       *
  22.   *     You'll get back the latest version of Pro-Wizard II without       *
  23.   *     these boring requesters ;-) and some bonus stuff, modules...      *
  24.   *                                                                       *
  25.   *************************************************************************
  26.   *                                                                       *
  27.   *   Name_____________________________________________________________   *
  28.   *                                                                       *
  29.   *   Address__________________________________________________________   *
  30.   *                                                                       *
  31.   *   Postal Number______________    Town______________________________   *
  32.   *                                                                       *
  33.   *   State______________________    Country___________________________   *
  34.   *                                                                       *
  35.   *   E-Mail (if any)__________________________________________________   *
  36.   *                                                                       *
  37.   *                         Optional Informations :                       *
  38.   *                         ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯                         *
  39.   *   Pro-Wizard version_______________________________________________   *
  40.   *                                                                       *
  41.   *   Amiga______________________    Kickstart(s)______________________   *
  42.   *                                                                       *
  43.   *   Processor__________________    Co-Processor______________________   *
  44.   *                                                                       *
  45.   *   CHIP-RAM___________________    FAST-RAM__________________________   *
  46.   *                                                                       *
  47.   *   HardDisk ?                     YES ( )  -  NO ( ) --> _______ Meg      *
  48.   *                                                                       *
  49.   *   Action Replay (or equiv) ?     YES ( )  -  NO ( )                   *
  50.   *                                                                       *
  51.   *   Comments / BugReports / Suggestions :                               *
  52.   *   _________________________________________________________________   *
  53.   *                                                                       *
  54.   *   _________________________________________________________________   *
  55.   *                                                                       *
  56.   *   _________________________________________________________________   *
  57.   *                                                                       *
  58.   *   _________________________________________________________________   *
  59.   *                                                                       *
  60.   *************************************************************************
  61.   *                                                                       *
  62.   *   Date_______________________    Signature :                          *
  63.   *                                                                       *
  64.   *************************************************************************
  65.