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Text File  |  1992-11-16  |  2KB  |  34 lines
  1.       +---------------------------------------------------------+
  2.       | To : Brad Vonarx                                        |
  3.       |      P.O. Box 801                                       |
  4.       |      Croydon 3136                                       |
  5.       |      Victoria, AUSTRALIA                                |
  6.       |  __                                                     |
  7.       | |__| Please send me one Private Registration key        |
  8.       |      for EzyEdit for $25 AUD                            |
  9.       |  OR                                                     |
  10.       |  __                                                     |
  11.       | |__| Please send me one Commercial Registration key     |
  12.       |      for EzyEdit for $40 AUD                            |
  13.       |                                                         |
  14.       |  Please charge the registration key to my credit card.  |
  15.       |                __              __         __            |
  16.       |  Card Type  : |__| MasterCard |__| Visa  |__| Bankcard  |
  17.       |                                                         |
  18.       |  My Full Card Number is :                               |
  19.       |                                                         |
  20.       |                                                         |
  21.       |        └─┴─┴─┴─┘ └─┴─┴─┴─┘ └─┴─┴─┴─┘ └─┴─┴─┴─┘          |
  22.       |                                                         |
  23.       |  Valid From  ___/___/___ Until End ___/___/___          |
  24.       |                                                         |
  25.       |  Name on Card : _______________________________________ |
  26.       |                                                         |
  27.       |  Address      : _______________________________________ |
  28.       |                                                         |
  29.       |                 ____________________ Post Code : ______ |
  30.       |                                                         |
  31.       | Signature of Cardholder : _____________________________ |
  32.       |                                                         |
  33.       +---------------------------------------------------------+
  34.