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Text File  |  1992-05-17  |  2KB  |  45 lines
  1.  
  2.  
  3. ***************************************************************************
  4. *                                      *
  5. *            ***********************************              *
  6. *            **                     **              *
  7. *            ** DeliTracker Registration Form **              *
  8. *            **                     **              *
  9. *            ***********************************              *
  10. *                                      *
  11. *                                      *
  12. *  Name : ______________________________________________________________  *
  13. *                                      *
  14. *  Address : ___________________________________________________________  *
  15. *                                      *
  16. *  City : _____________________________ State: _________________________  *
  17. *                                      *
  18. *  Postal Code: _______________________ Country: _______________________  *
  19. *                                      *
  20. *                                      *
  21. *  Amiga  __500     __600  __1000  __2000  __2500   __3000  __3000T      *
  22. *                                      *
  23. *  Kickstart __1.2  __1.3  __2.0                      *
  24. *                                      *
  25. *  RAM: _____ MB FAST-RAM                          *
  26. *                                      *
  27. *    _____ MB CHIP-RAM                          *
  28. *                                      *
  29. *  Processor : 680__0                              *
  30. *                                      *
  31. *  Comment : ___________________________________________________________  *
  32. *                                      *
  33. *  _____________________________________________________________________  *
  34. *                                      *
  35. *  _____________________________________________________________________  *
  36. *                                      *
  37. *  _____________________________________________________________________  *
  38. *                                      *
  39. *  _____________________________________________________________________  *
  40. *                                      *
  41. *  _____________________________________________________________________  *
  42. *                                      *
  43. *                                      *
  44. ***************************************************************************
  45.