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     Simone Tellini                      Order form for
     Piazza Resistenza 2
     42016 Guastalla RE                 Interface Editor
     ITALY
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        Dear Simone,

        I'd like to receive the latest REGISTERED version of IE.

        I include the registration fee of
                                            ( ) LIT. 30.000 (Italy ONLY)
                                            ( ) LIT. 23.000 (AET members,
                                                            Italy only)
                                            ( ) US $ 25     (Rest of the
                                                            world)


        Name  __________________    Surname  ________________________

        Address  ____________________________________________________

                 ____________________________________________________

                 ____________________________________________________

                 ____________________________________________________

        Country  _____________      Phone Number  +__________________

        FAX  ___________________    E-Mail  _________________________

        Data  __________________    Sign    _________________________



Amiga owned:               Kickstart:               Memory:   ___  Mb

( ) 500    ( ) 500+        ( ) 1.3    ( ) 3.0       HardDisk: ___ Mb
( ) 2000   ( ) 3000        ( ) 2.04   ( ) 3.1
( ) 1200   ( ) 4000        ( ) 2.1                  Modem:  _____ Baud
                                                      # +_____________
Have you got an other computer?  ( ) Yes  ( ) No
If yes, which?  ____________________________

Do you use Amiga to:

( ) Play Games
( ) DTP
( ) DTV
( ) Assembly coding
( ) C coding
( ) _______ coding
( ) Word-Processing
( ) Database
( ) Spreadsheet
( ) __________

What kind of programs would you like to find in the Shareware?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________


Suggestions for a new program ;) :
________________________________________________________________________
________________________________________________________________________
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