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/ Amiga Plus 2000 #5 / Amiga Plus CD - 2000 - No. 5.iso / Tools / Dev / Real / Orderform < prev    next >
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  2.  **********************************************************************
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  6.    Send this form and fee to        ## # ## ####  ## # ## ######
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  9.    Miloslaw Smyk
  10.    ul. Orawska 22/34              ·2·4· ·B·I·T· ·P·O·W·E·R· ·F·O·R·
  11.    70-131 Szczecin
  12.                                      #####   ####  #####   ####
  13.    Poland                            ##  ## ##  ## ##  ## ##  ##
  14.                                      #####     ##  ##  ##    ##
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  17.  
  18.  **********************************************************************
  19.  
  20.    YES, I WOULD LIKE TO BECOME A REGISTERED USER AND RECEIVE A KEYFILE
  21.  
  22.  **********************************************************************
  23.  
  24.  
  25.       Name:
  26.             ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯
  27.  
  28.    Address:
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  31.     E-mail:                             Phone:
  32.             ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯        ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯
  33.  
  34.     Config:
  35.             ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯
  36.  
  37.  Real3D v.:
  38.             ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯
  39.  
  40.  Notes and suggestions:
  41.                          ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯
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  44.             ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯
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  47.             ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯
  48.  
  49.                 I would like to receive my personal keyfile:
  50.  
  51.                      _                      _
  52.                     ( ) - on diskette      ( ) - by E-mail
  53.                      ¯                      ¯
  54.  
  55.  I enclose a shareware fee (cash or bank receipt) together with this form:
  56.       _                    _                  _
  57.      ( ) - US$ 20         ( ) - DM30         ( ) - 25PLZ (POLAND ONLY)
  58.       ¯                    ¯                  ¯
  59.  
  60.            I HEREWITH DECLARE TO KEEP RECEIVED KEYFILE TO MYSELF
  61.                     AND NOT DISTRIBUTE IT BY ANY MEANS.
  62.  
  63.  
  64.       Date:  __________________   Signature:  _____________________
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