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Text File  |  1991-04-12  |  2KB  |  62 lines
  1.           HSRES REGISTRATION, v. 1.10
  2.  
  3.           Complete this form and mail along with your registration fee to:
  4.  
  5.                     Werner Knudsen
  6.                     Tulipanvej 5
  7.                     DK-2600 Glostrup
  8.                     Denmark
  9.  
  10.           Register To: __________________________________________________
  11.  
  12.           Name    : _____________________________________________________
  13.  
  14.           Address : _____________________________________________________
  15.  
  16.                     _____________________________________________________
  17.  
  18.                     _____________________________________________________
  19.  
  20.           Country : ____________________________________
  21.  
  22.           Telephone : (_____) ____________
  23.  
  24.           I can use 5.25"_______  I must have 3.5"_______ disks
  25.  
  26.                                     $      £      Dkr     Qty.   Price
  27.                                    ─────────────────────────────────────
  28.           HSRES single user        15.00  10.00  100.00   ____  ________
  29.         * Latest HSRES Upgrade     10.00   5.00   50.00   ____  ________
  30.           ________________________                        ____  ________
  31.  
  32.           Shipping & handling .... 10.00   5.00   50.00         ________
  33.           Danish citizens: Add 22% (moms)                       ________
  34.  
  35.           Sum ..........................                        ========
  36.  
  37.           *You must be a registered user on file to receive the upgrade.
  38.  
  39.  
  40.           Where did you receive your shareware copy ? ___________________
  41.  
  42.           _______________________________________________________________
  43.  
  44.           _______________________________________________________________
  45.  
  46.           Enhancements you would like to see : __________________________
  47.  
  48.           _______________________________________________________________
  49.  
  50.           _______________________________________________________________
  51.  
  52.           _______________________________________________________________
  53.  
  54.           Comments : ____________________________________________________
  55.  
  56.           _______________________________________________________________
  57.  
  58.           _______________________________________________________________
  59.  
  60.           _______________________________________________________________
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