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Text File  |  1989-03-04  |  2KB  |  24 lines
  1. +------------------------------------------------------------------------+
  2. |  VGA2EGA v4.0 Registration                       Date:                 |
  3. |  [ ] 5.25"  or  [ ] 3.5" (add $10)                                     |
  4. |                                                                        |
  5. |  Name:                                                                 |
  6. |                                                                        |
  7. |  Address:                                                              |
  8. |                                                                        |
  9. |                                                                        |
  10. |  Where/How     BBS [ ] Name/City/State :                               |
  11. |  Acquired ?  Other [ ] Specify.        :                               |
  12. |------------------------------------------- (Model/Manufacturer) -------|
  13. |  Computer:                                                             |
  14. |                                                                        |
  15. |  Monitor:                                                              |
  16. |                                                                        |
  17. |  Video Card (BIOS version):                                            |
  18. |                                                                        |
  19. |  Other (e.g. Scanner, Video Capturer:                                  |
  20. |                                                                        |
  21. |  Comments: (use back)                                                  |
  22. |                                                  Signature             |
  23. +------------------------------------------------------------------------+
  24.