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ASIA.REG
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1995-04-08
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1KB
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40 lines
ARROWBRIDGE V1.12
ASIAN REGISTRATION FORM
-----------------------
(Please Print)
Registered to:___________________________________________ FIDO _:____/____
(BBS Name or User Name if for private use)
First Name :____________________ Last Name:_______________________________
(User Name - MUST be completed)
Address:__________________________________________________________________
Suburb or City:____________________________ State:____ Postal Code:_______
Country:__________________________ Home Phone: ( )____________________
COST PER COPY : $40 SIN (For BBS or Private Registrations only)
~~~~~~~~~~~~~~~~~~~~~~~
Signature : ____________________________
All cheques and postal orders should be made out to Wong Quek Chew
and in Singapore dollars only.
----------------------------------------------------------------------------
SEND TO: Wong Quek Chew
Blk 124,
Geylang East Ave 1
#03-59
Singapore 1438
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