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regform.txt
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1995-01-16
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2KB
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46 lines
Bricklayer for Windows v1.6 Registration Form ** Vanilla-Extract Software
=========================================================================
[Name]
Title _______
Last Name ____________________
First Name ____________________ Initial __
=========================================================================
[Address]
if USA:
Address ___________________________________________________
City ___________________________________________________
State, Zip __ _____-____
if Outside USA:
Address ______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
Country ____________________________
email address _________________________
Would you like to be notified about new
products/releases via email ? ____
=========================================================================
[Additional Information]
Where did you find Bricklayer (ftp, online service, BBS, friend, etc.) ?
What Hardware and OS are you using ?
Any Comments/Suggestions regarding Bricklayer ?
---------------8<---------------8<--------------------8<-----------------
Thank you for registering Bricklayer for Windows!
Please send US$10 for each copy of Bricklayer to be registered to:
Yevgeny Gurevich
129 Franklin Street #112
Cambridge, MA 02139-4100