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register.frm
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1993-12-12
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Registrationform
Please send me the latest release of
The NOMSSI Viewer 1.1, an image viewer for SVGA
(c) 93 by Jacques NOMSSI NZALI
Thueringer Weg 3/435
09126 Chemnitz Germany
I will get a personally registered version.
NAME ____________________________________
STREET ____________________________________
CITY ____________________________________
COUNTRY/STATE ____________________________________
E-MAIL ____________________________________
number : ______ X 34DM (incl. postage in germany)
_______ X 25$US (incl. postage to other states)
= __________
language: ( ) english floppy-disk type: ( ) 3 1/2 "
( ) deutsch ( ) 5 1/4 "
DATE / SIGNATURE _______________________________
Please send money / crossed cheque / moneyorder to the account:
Deutsche Bank Chemnitz
BLZ 870 700 00
Kto.: 1206259/00
COMMENTS / SUGESTIONS / PROBLEMS
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
Thank you for your support.