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Text File  |  1993-08-30  |  1KB  |  42 lines
  1.  
  2.                              ORDER FORM
  3.                        MINEFIELD FOR EVERYBODY           
  4.                        
  5.  Please fill in the following information clearly. Upon receipt of your        
  6.  registration fee, you will be sent a registration number that will
  7.  disable all registration reminders. You will also be allowed to
  8.  enter your name into the program as the legal licensed user.
  9.  
  10.  Name: _____________________________________       
  11.  
  12.  Address: _________________________________________________________________
  13.  
  14.  __________________________________________________________________________
  15.  
  16.  __________________________________________________________________________
  17.  
  18.  Where did get your copy of MFE from? ________________________________
  19.  
  20.  Comments: _________________________________________________________________
  21.  
  22.     
  23.  Quantity    Item                                      Cost Each     Total
  24. ------------------------------------------------------------------------------
  25.  
  26.   ______     MINEFIELD FOR EVERYBODY                   $  5.00   __________
  27.  
  28.  
  29.   Make checks out to JUDAH WARSHAW
  30.  
  31.   Mail to: JUDAH WARSHAW                  JUDAH WARSHAW
  32.              P.O. Box 27054      --or--   14 Florence St.
  33.              Jerusalem 91270               Great Neck, NY
  34.              ISRAEL                       11023
  35.                                             USA
  36.                                             
  37.  
  38. Please note: Mailing to Israel will get you your registration code
  39. faster, as the mail does not have to be forwarded to Israel.
  40.  
  41. 
  42.