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Text File  |  1992-07-16  |  5KB  |  61 lines
  1. ┌──────────────────────────────────────────────────────────────────────────────┐
  2. │ Le RELIEUR  Version 3.00                                   Registration form │
  3. │                                                                              │
  4. │           Please Fill in upper cases only.                                   │
  5. │           Address it in a stamped envelope to                                │
  6. │                                                                              │
  7. │                                       ┌───────────────────────────────┐      │
  8. │                                       │    Jean-Michel PAULI          │      │
  9. │                                       │    Chemin des Tulipes         │      │
  10. │                                       │    La MOUTONNE                │      │
  11. │                                       │    83260 La CRAU - FRANCE     │      │
  12. │                                       └───────────────────────────────┘      │
  13. │                                                                              │
  14. │                    ┌──────────────────────────────────────────────────────┐  │
  15. │                    │                                                      │  │
  16. │ complete name      │ .................................................... │  │
  17. │                    │                                                      │  │
  18. │ or Company name    │ .................................................... │  │
  19. │                    │                                                      │  │
  20. │ Address            │ .................................................... │  │
  21. │                    │                                                      │  │
  22. │ Zip code city      │ ............   ..................................... │  │
  23. │                    │                                                      │  │
  24. │ Country            │ .................................................... │  │
  25. │                    └──────────────────────────────────────────────────────┘  │
  26. │                                                                              │
  27. │           Send me my complete personnal RELIEUR. You will find a check       │
  28. │       or a money order of 150 Francs (French Francs exclusively) plus        │
  29. │       shipping fees             : 20 Fr. Europe                              │
  30. │                                   50 Fr. Other Countries                     │
  31. │                                                                              │
  32. │       Floppy format : [ ] 3"1/2 (Check one)                                  │
  33. │                       [ ] 3"1/4                                              │
  34. │                                                                              │
  35. │           By registering, I will have all the new releases of Le RELIEUR     │
  36. │       during 1 year.                                                         │
  37. │                                                                              │
  38. │             The registrered version of Le RELIEUR I will recieve will be     │
  39. │                              STRICTLY PERSONAL                               │
  40. │                                                                              │
  41. │       It can't be copied for a friend , or resold. It can only be copied     │
  42. │       for data protection prupose. It can't be used on more than one com-    │
  43. │       puter at once. If it appear necessary to use it in another machine     │
  44. │       it will be desinstalled first.                                         │
  45. │                                                                              │
  46. │                                                                              │
  47. │                      @ ...........................                           │
  48. │                                                                              │
  49. │                   (date)..........................                           │
  50. │                                                                              │
  51. │                                Signature                                     │
  52. │                                                                              │
  53. │                                                                              │
  54. │                                                                              │
  55. │                                                                              │
  56. │                                                                              │
  57. │                                                                              │
  58. │                                                                              │
  59. └──────────────────────────────────────────────────────────────────────────────┘
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