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Monster Media 1996 #15
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Monster Media Number 15 (Monster Media)(July 1996).ISO
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here11b2.zip
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REGISTER.TXT
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1996-04-07
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1KB
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54 lines
HERE REGISTRATION FORM
The registration fee for Here is $10 US. You may pay by
check or credit card.
Your Name:
______________________________________________________
Your Postal Address:
______________________________________________________
______________________________________________________
Your Email Address:
______________________________________________________
If paying by credit card:
Cardholder's Name:
______________________________________________________
Card's Issuer (check one):
___Visa ___Mastercard ___Discover
Card Number:
______________________________________________________
Card's Expiration Date:
______________________________________________________
Cardholder's Signature:
______________________________________________________
Please complete and mail this form, together with your check
or the above credit card information, to:
Everitt Beers
8928 Beverlywood Street
Los Angeles, California 90034-2418 USA
If paying by credit card, you can instead email this form to:
beers@cris.com
Thank you for your support!