home *** CD-ROM | disk | FTP | other *** search
/ Amiga Format CD 5 / amigaformatcd05.iso / readerstuff / mark_tebbutt / registrationform < prev    next >
Text File  |  1996-08-13  |  1KB  |  54 lines

  1. REGISTRATION FORM:
  2.    Please copy out or print, and then fill in.
  3.  
  4. Code: Omega
  5.  
  6. NAME:_______________________________________________________________________
  7.  
  8. ADDRESS:____________________________________________________________________
  9.  
  10.         ____________________________________________________________________
  11.  
  12.         ____________________________________________________________________
  13.  
  14.         ____________________________________________________________________
  15.  
  16.         ____________________________________________________________________
  17.  
  18.         ____________________________________________________________________
  19.  
  20.         ____________________________________________________________________
  21.  
  22. POSTCODE:_________________
  23.  
  24. PHONE NUMBER:_______________________
  25.  
  26. COMMENTS:___________________________________________________________________
  27.  
  28. ____________________________________________________________________________
  29.  
  30. ____________________________________________________________________________
  31.  
  32. ____________________________________________________________________________
  33.  
  34. ____________________________________________________________________________
  35.  
  36.                      PLEASE CONTINUE ON SEPERATE SHEET
  37.                               IF NECESSARY.
  38.  
  39. AFFIX YOUR TWO POUNDS STERLING HERE:-
  40.  
  41.  
  42.  
  43.  
  44.  
  45.  
  46.  
  47.  
  48.  
  49.  
  50.  
  51.  
  52.  
  53. THANKYOU! (See docs for address).
  54.