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Text File  |  1992-04-08  |  2KB  |  43 lines
  1. Registration form
  2. -----------------
  3.  
  4. Address: ___________________________________________________
  5.      ___________________________________________________
  6.      ___________________________________________________
  7.      ___________________________________________________
  8.      ___________________________________________________
  9.  
  10. Telephone (with international country code):________________
  11. E-mail address:_____________________________________________
  12. (Include network, i.e. MCI, BIX, CompuServe, Internet, FidoNet, etc)
  13.  
  14. Payment:
  15. [ ] US$55          [ ] Included in envelope.
  16. [ ] SEK300         [ ] Payment through Swedish PostGiro.
  17.                Giro# 400 16 35-4
  18.            [ ] Other: _______________________________
  19.  
  20. [ ] The INTL package will be used in a commercial* product.
  21.  
  22.     Description of the product.
  23.     _________________________________________________________
  24.     _________________________________________________________
  25.     _________________________________________________________
  26.     _________________________________________________________
  27.     _________________________________________________________
  28.     _________________________________________________________
  29.     _________________________________________________________
  30.     _________________________________________________________
  31.  
  32.     Suggested Royalty: ________/Sold unit.
  33.     (I will contact you for an agreement)
  34.  
  35. Mail to:
  36. Björn Fahller
  37. Trollnäsvägen 3A
  38. S-951 61 Luleå
  39. SWEDEN
  40.  
  41. * Commercial product here means "All products the end user 
  42. must pay for, regardless of method of payment and price."
  43.