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Inside Multimedia 1995 February
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1993-09-23
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Kendall Bennett Universal VESA VBE Donation Information Form
15 Stevenson Street
Kew Victoria 3101
AUSTRALIA
Name ________________________________________________________________
Company _____________________________________________________________
Address _____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Phone _____________________________ Fax ____________________________
Register donation to: [ ] Company [ ] Individual
Donation type Donation Amount
---------------------------------------------------- ---------------
US$20+ ($A30) Latest version on disk $ _______
US$50+ ($A70) Latest version on disk + notification $ _______
Disk size: [ ] 3.5" [ ] 5.25"
For Australia customers, all funds must be made payable in Australia
Dollars (A$) as either a personal cheque (subject to clearance)
or Money Order.
For International customers, all funds must be made payable in
United States Dollars (US$) as an International Money Order.