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Text File  |  1998-06-24  |  2KB  |  62 lines
  1.    -----------------------
  2.      Simone Tellini                      Order form for
  3.      Piazza Resistenza 2
  4.      42016 Guastalla RE                      STFax
  5.      ITALY
  6.    -----------------------
  7.  
  8.  
  9.         Dear Simone,
  10.  
  11.         I'd like to register to STFax, please send me my keyfile.
  12.  
  13.         I'd like to receive the keyfile by
  14.  
  15.             ( ) Snail Mail
  16.             ( ) E-Mail       (PGP public key needed)
  17.  
  18.         I include the registration fee of
  19.  
  20.              Country     |  Fee         |  Method of payment
  21.              ---------------------------------------------------------
  22.         ( )  Italy       |  LIT 45.000  |  Contanti, vaglia, assegno
  23.              ---------------------------------------------------------
  24.         ( )  Europe      |  LIT 50.000  |  Cash, postal money order,
  25.                          |              |  EuroCheques
  26.              ---------------------------------------------------------
  27.         ( )  Rest of the |  US $ 35     |  Cash, postal money order
  28.              world       |              |  NO CHEQUES!
  29.              ---------------------------------------------------------
  30.  
  31.  
  32.         Name  __________________    Surname  _________________________
  33.  
  34.         Address  _____________________________________________________
  35.  
  36.                  _____________________________________________________
  37.  
  38.                  _____________________________________________________
  39.  
  40.                  _____________________________________________________
  41.  
  42.         Country  _____________      Phone Number  +___________________
  43.  
  44.         FAX  ___________________    E-Mail  __________________________
  45.  
  46.         Date  __________________    Sign    __________________________
  47.  
  48.  
  49.  
  50. Amiga owned:               Kickstart:               Memory:   ___  Mb
  51.  
  52. ( ) 500    ( ) 500+        ( ) 1.3    ( ) 3.0       HardDisk: ___ Mb
  53. ( ) 2000   ( ) 3000        ( ) 2.04   ( ) 3.1
  54. ( ) 1200   ( ) 4000        ( ) 2.1                  Modem
  55.                                                     Model: ___________
  56.                                                     Baud:  ___________
  57.  
  58. Comments:
  59.     __________________________________________________________________
  60.     __________________________________________________________________
  61.     __________________________________________________________________
  62.