³ ³ ³ ³ ³ Registration form for ³ Registration de BREF V1.21 Shareware version ³ BREF V1.21 version Shareware ³ ³ ³ ³ ³ If you want to register, and receive ³ Vous pouvez recevoir la version the complete version, please send us ³ complete de ce jeu, en envoyant 20 US dollars (or equivalent in your ³ 100 Francs (chŠque ou billet) country currency-no coins) to: ³ a cette adresse: ³ Franck Gotthold ³ Franck Gotthold 3 rue Jean Moulin ³ 3 rue Jean Moulin 18570 La chapelle St Ursin ³ 18570 La chapelle St Ursin FRANCE ³ FRANCE ³ Just mention you're registering BREF ³ Indiquez moi que vous registrez BREF You will receive fastly the complete ³ Vous recevrez tres rapidement votre version that features: ³ version complŠte et personnelle ³ qui comprend: ³ - the HARD level (25 stages) ³ - le niveau DUR (25 ‚tapes) - 2 PLAYERS MODE !!! ³ - LE MODE 2 JOEURS !!! - 15 more stages in both ³ - 15 ‚tapes supplementaire en medium and easy levels ³ niveaux facile et moyen - ANTI-BREFS monsters ³ - des monstres ANTI-BREFS - (...) ³ - (...) ³ ³ ;---- CUT --- CUT --- CUT --- CUT --- CUT --- CUT --- CUT --- CUT --- CUT - English version: Name,surname:____________________________________________________________ Address:_________________________________________________________________ _________________________________________________________________________ ZIP/Code:________________ City:_________________________________________ Country:_________________________________________________________________ E-mail Address (*): _____________________________________________________ configuration (*): Processor: ________ Speed: ______ SoundCard: ______________________________ Operating system: _________________________________________________________ comments about BREF and...: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Date ________________ Sign here: (*) means Optional ;---- CUT --- CUT --- CUT --- CUT --- CUT --- CUT --- CUT --- CUT --- CUT - Version fran‡aise: Nom, pr‚nom:_______________________________________________________________ Addresse:__________________________________________________________________ ___________________________________________________________________________ Code postal: ____________ Ville: _________________________________________ PAYS: _____________________________________________________________________ E-mail Address (*) : ______________________________________________________ votre configuration (*) : Processeur: _________ Vitesse: _________ Carte son: _______________________ SystŠme d'exploitation: ___________________________________________________ Autres infos: _____________________________________________________________ Commentaires sur BREF + ... : ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Date ________________ Signez ici: (*) Optionel merci. ;---- CUT --- CUT --- CUT --- CUT --- CUT --- CUT --- CUT --- CUT --- CUT -