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/ EnigmA Amiga Run 1996 June / EnigmA AMIGA RUN 08 (1996)(G.R. Edizioni)(IT)[!][issue 1996-06][EARSAN CD VII].iso / earcd / games2 / cyberspc.lha / Main.lha / Register.form < prev    next >
Text File  |  1996-04-13  |  4KB  |  54 lines
  1. /-------------------------------------------------------------------\
  2. |                    C Y B E R S P A C E                            |
  3. |                   registration formular                           |
  4. |                                                                   |
  5. |  Please make your choice :                                        |
  6. |                                                                   |
  7. |     O   first registration                                        |
  8. |     O   update service  regnr: __________________________________ |
  9. |                                                                   |
  10. |                        codenr: __________________________________ |
  11. |                                                                   |
  12. |                     productnr: __________________________________ |
  13. |                                                                   |
  14. |                   old version: __________________________________ |
  15. |                                                                   |
  16. |     O   bad disks                                                 |
  17. |                                                                   |
  18. |  please enter :                                                   |
  19. |                                                                   |
  20. |    Name    : ____________________________________________________ |
  21. |                                                                   |
  22. |    Street  : ____________________________________________________ |
  23. |                                                                   |
  24. |    City    : ____________________________________________________ |
  25. |                                                                   |
  26. |    Country : ____________________________________________________ |
  27. |                                                                   |
  28. |  computer :                                                       |
  29. |                                                                   |
  30. |     O Amiga : ___________________________________________________ |
  31. |                                                                   |
  32. |  language :                                                       |
  33. |     O german                                                      |
  34. |     O english                                                     |
  35. |     O french
  36. |     O special : _________________________________________________ |
  37. |                                                                   |
  38. |                 if not exists i want : O english                  |
  39. |                                        O german                   |
  40. |                                                                   |
  41. |     O i will translate from _____________ to ____________________ |
  42. |                                                                   |
  43. |                 enter the special number : ______________________ |
  44. |                                                                   |
  45. |  disk-typ :                                                       |
  46. |                                                                   |
  47. |     O 3 1/2 HD                                                    |
  48. |     O 3 1/2 DD                                                    |
  49. |                                                                   |
  50. |                                                                   |
  51. |   _________________, ___________     ____________________________ |
  52. |   CITY               DATE            SIGNATUR                     |
  53. \-------------------------------------------------------------------/
  54.