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Register.eng
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1998-10-16
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2KB
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74 lines
V I R T U A L W O R L D S P R O D U C T I O N S
---------------------------------------------------
R e g i s t e r f o r m
See the VIRTUAL_News for actual prices
---------------------------------------------------------------------------
Name : _______________________________________________________
Address : _______________________________________________________
_______________________________________________________
_______________________________________________________
Country : _______________________________________________________
Phone : _______________________________________________________
eMail : _______________________________________________________
Hardware : _______________________________________________________
Register for
following products : _______________________________________________________
_______________________________________________________
Payment : [ ] Eurocheques
- filled out completely
[ ] Money-Transfer to this account:
- account owner: Michael Pfeiffer
- bank: Sparda-Bank Muenchen eG, Germany
- bank-code: 700 905 00
- account number: 118 57 48
[ ] Cash
Lieferweise: [ ] by mail on a branded 3.5" disk
[ ] by eMail, uuencoded
[ ] by eMail, MIME-encoded
I install the keyfile only on my Amiga and don't copy this one to thirds.
____________________ _______________________________________
date signature
We will send your keyfile, when we received the money.
---------------------------------------------------------------------------
eMail: Oxygenic@t-online.de (Subject:VWP-Register)
Mail : Michael Pfeiffer
Riegerhofstr. 15
80686 Muenchen
Germany