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Text File  |  1993-11-11  |  1.6 KB  |  45 lines
  1.                       BERNIE V2.0 Order Form
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  3.  
  4. Name _____________________________________
  5.  
  6. Address __________________________________
  7.  
  8. City _______________________________ State ______ ZIP ____________________
  9.  
  10. Country  _________________________________
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  13. What type/brand of video adapter do you have ? :_____________________
  14.  
  15. Do you have a sound card ?                     :_____________________
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  17. Where did you get 'BERNIE.EXE' ?
  18. Shareware Distributor (name) : _________________________________________
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  22. If you have any suggestions or bug reports, please let me know.
  23. __________________________________________________________________________
  24. __________________________________________________________________________
  25. __________________________________________________________________________
  26. __________________________________________________________________________
  27.                                                                           
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  30.           Please mail this form with a check or money order for $12.00 US,
  31.            payable to 'Jean-Guy Lavallee, to the following address:
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  34.                      ████████████████████████████████████
  35.                      ██       Jean-Guy Lavalle         ██
  36.                      ██        Canada Quebec           ██
  37.                      ██           J5A 1B1              ██
  38.                      ██     19 Richer St-Constant      ██
  39.                      ██                                ██
  40.                      ██     Compuserve 74750,1014      ██
  41.                      ████████████████████████████████████
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