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Reg_Form
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Text File
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1996-11-30
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3KB
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48 lines
Registration form for Texture Garden
====================================
_________________________________________
| |
Name.................... | ....................................... |
|_________________________________________|
_________________________________________
| |
Desired info box text... | ....................................... |
(if different from name) |_________________________________________|
_________________________________________
| |
Address................. | ....................................... |
| |
Road.................... | ....................................... |
| |
City.................... | ....................................... |
| |
County/Country.......... | ....................................... |
| |
Postcode/EMail.......... | ....................................... |
|_________________________________________|
Version required : Please select one box
_____
Registered Single User : Single user license. | |
Registration cost: 8 UK Pounds |_____|
_____
Registered Super User : Single user license. | |
Registration cost: 10 UK Pounds |_____|
_____
Registered Site : Site license. | |
Registration cost: 10 UK Pounds |_____|
_____
Please tick this box if you want "No Junkmail" | |
|_____|
______________
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Sum enclosed........................................| ............ |
|______________|
_____ __ __ _____ The Mandala Centre,
|_ _|| \/ ||_ _| 11 Alexandra Road, Clifton, Bristol, BS8 2DD.
| | | |\/| | | | tim@varuna.demon.co.uk / tt@cryogen.com
|_| |_| |_| |_| http://www.varuna.demon.co.uk/tmc/