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/ Mac100% 1999 April / MAC100-1999-04.ISO.7z / MAC100-1999-04.ISO / 特集2「iCON FREEEAK10000SP」 / NeoIcon 68k 0.9.0a1 / Registration Form < prev   
Text File  |  1995-10-21  |  1KB  |  29 lines

  1.          NeoIcon  Registration Form
  2.  
  3.      When filling out this form, please print neatly.  The only required information is your name.
  4.  
  5.      Send this form with a $15 check made out to Brad Anderson to:
  6.  
  7.               Brad Anderson
  8.               917 Merion Square Road
  9.               Gladwyne, PA 19035-1509
  10.               USA
  11.  
  12.      If you don't have access to an United State bank account, send $15 in cash in an opaque envelope.  
  13.  
  14.      As soon as I get this letter, I will enter your name into my black box.  The black box will spit out a serial number which I will e-mail to you OR mail to you if you don't have an e-mail address.  This black box will also send you notices of updates when they come out.
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  16. Your Name:                                                             
  17.  
  18. Address:
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  20.                                                                                   
  21.                                                                                   
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  26. E-Mail Address:                                                            
  27. (If you have more than one, enter your primary address)
  28.  
  29. Comments, Problems, Suggestions: