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REGISTER.FRM
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1994-02-22
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Registration form
Please send me the latest release of
The NOMSSI Viewer 1.2, a graphics file viewer for SuperVGA
Copyright (c) 1993,1994 by Jacques NOMSSI NZALI
Thueringer Weg 3/435
09126 Chemnitz Germany
I will get a personally registered version.
NAME ____________________________________
STREET ____________________________________
CITY ____________________________________
COUNTRY/STATE ____________________________________
E-MAIL ____________________________________
number : ______ X 34 DM (incl. postage in europe)
_______ X 25$US (incl. postage to all other countries)
= __________
language: ( ) english floppy disk type: ( ) 3 1/2 " (1.44 Mb)
( ) german ( ) 5 1/4 " ( 1.2 Mb)
DATE / SIGNATURE _______________________________
Please send money / money order to the account in Germany
Bank: Deutsche Bank Chemnitz
Bank Code: 870 700 00
A/c No.: 1206259
COMMENTS / SUGGESTIONS / PROBLEMS
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
Thank you for your support.