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/ Monster Media 1996 #15 / Monster Media Number 15 (Monster Media)(July 1996).ISO / utils / mrbtr12.zip / REGISTER.FRM < prev   
Text File  |  1996-04-14  |  1KB  |  53 lines
  1.  
  2.  ***************** Registration form for MasterBooter v1.2 *******************
  3.  
  4.  
  5.     Name (personal or company):___________________________________________
  6.     
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  8.     Full address:_________________________________________________________
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  10.                  _________________________________________________________
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  12.                  _________________________________________________________
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  14.                  _________________________________________________________
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  16.                  _________________________________________________________
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  18.                  _________________________________________________________
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  21.     E-mail address:_______________________________________________________
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  25.    Way of payment:
  26.    --------------
  27.        [ ] - Check or money order
  28.  
  29.        [ ] - Via bank transfer from Hungary
  30.        [ ] - Via bank transfer from other country             
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  32.  
  33.    Registration type:
  34.    -----------------
  35.        [ ] - Private use               [ ] - Institutional use
  36.  
  37.                    [ ] - Other (more info required)
  38.  
  39.    Getting the software:
  40.    --------------------
  41.        [ ] - Order via E-mail to the address above
  42.  
  43.        [ ] - Order on a 720Kb floppy disk to the address above
  44.  
  45.        [ ] - Order on a 360Kb floppy disk to the address above
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  50.      ______________________             _________________________________
  51.              Date                                   Signature
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