home *** CD-ROM | disk | FTP | other *** search
/ Amiga Games: Greatest Hits 1996 / Amiga Games: Greatest Hits 1996.iso / userbox / publicdomain / amis / orderform < prev    next >
Text File  |  1996-05-18  |  2KB  |  45 lines

  1.  
  2.      I want to become a registered user of "AMIS".
  3.      Here is the information you need to know about me:
  4.  
  5.      Name:     ________________________________________________________
  6.  
  7.      Address:  ________________________________________________________
  8.  
  9.                ________________________________________________________
  10.  
  11.                ________________________________________________________
  12.  
  13.      Country:  ________________________________________________________
  14.  
  15.      E-mail:   ________________________________________________________
  16.  
  17.      Hardware: ________________________________________________________
  18.  
  19.                ________________________________________________________
  20.  
  21.      Suggestions:       _______________________________________________
  22.      (for improvements)
  23.                         _______________________________________________
  24.  
  25.                ________________________________________________________
  26.  
  27.      I am sending the shareware fee in cash, included with this letter,
  28.            o from The Netherlands  Fl 25,-
  29.            o from Europe           DM 25 / £ 12 / US $18 / Fl 27,-
  30.            o from outside Europe   DM 28 / £ 13 / US $20 / Fl 32,-
  31.  
  32.      Please send me the keyfile
  33.            o  in uuencoded form to my E-mail address
  34.            o  on a disk to my postal address
  35.  
  36.  
  37.      o  I promise not to spread my keyfile or install it on computers other
  38.         than my own. 
  39.  
  40.  
  41.  
  42.      _____________________  ___________________________________________
  43.             (Date)                          (Signature)
  44.  
  45.