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Text File  |  1994-03-03  |  1KB  |  36 lines
  1. Please complete this form and mail it to:    
  2.  
  3.                     INTÉGRATION Inc.
  4.                      1425 West René-Lévesque, suite 402
  5.                         Montréal (QUÉBEC) Canada
  6.                         H3G 1T7
  7.  
  8.                                                    • • •
  9.  
  10. Date: ___________________________________________________
  11.  
  12. Name: __________________________________________________
  13.  
  14. Postal address: ___________________________________________
  15.  
  16. Phone number: ____________________________________________
  17.  
  18. Fax number: ______________________________________________
  19.  
  20. E-Mail address: ___________________________________________
  21.  
  22. Money order / cheque enclosed __________ (write amount and currency) 
  23. (Please, no cash money)
  24.  
  25.                                                    • • •
  26.  
  27. Where did you get Film-Format-Translator? _____________________
  28.  
  29. ________________________________________________________
  30.  
  31.  
  32. Do you have any suggestions or bugs to report ? __________________
  33.  
  34. ________________________________________________________
  35.  
  36. ________________________________________________________