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Text File  |  1993-01-16  |  2KB  |  24 lines
  1. ┌──────────────────────────────────────────────────────────────────────────────┐
  2. │                          SmartCopy registering form                          │
  3. │──────────────────────────────────────────────────────────────────────────────│
  4. │                                                                              │
  5. │ Name : ____________________________ First name : ___________________________ │
  6. │                                                                              │
  7. │ Address : Number, street : ________________________________________________  │
  8. │                                                                              │
  9. │           City, State    : ________________________________________________  │
  10. │                                                                              │
  11. │           Country        : ________________________________________________  │
  12. │                                                                              │
  13. │           ZipCode        : _______________                                   │
  14. │                                                                              │
  15. │ Select disk size you want to get your copy on : [  ] 360k 5'1/4              │
  16. │                                                                              │
  17. │                                                 [  ] 720k 3'1/2              │
  18. │                                                                              │
  19. │ Include a 10$ check or money order and send to : Nicolas Pare                │
  20. │                                                  673 Clairette               │
  21. │                                                  Laval, Canada               │
  22. │                                                  H7P 2Y3                     │
  23. │                                                                              │
  24. └──────────────────────────────────────────────────────────────────────────────┘