home *** CD-ROM | disk | FTP | other *** search
/ Más de 2,500 Juegos / CD1.iso / ZIPDAT / 0548 / 0548.ZIP / regform.txt < prev    next >
Encoding:
Text File  |  1998-01-22  |  1.7 KB  |  64 lines
  1.  
  2. Name (please print)______________________________________________
  3.  
  4. Address _________________________________________________________
  5.  
  6.         _________________________________________________________
  7.  
  8.         _________________________________________________________
  9.   
  10. City    _________________________________________________________
  11.  
  12. St./Prov. _______________________________________________________
  13.  
  14. ZIP/PostCode ____________________________________________________
  15.  
  16. Country _________________________________________________________
  17.  
  18. Phone/Fax _______________________________________________________
  19.  
  20. E-Mail __________________________________________________________
  21.  
  22.  
  23. Thank you for your registration fee!
  24. Please make cheques payable to "Derek Smith".
  25.  
  26. Send to:
  27.  
  28.     Derek Smith,
  29.     Kalfstrasse 68a,
  30.     52159 Roetgen,
  31.     Germany.
  32.  
  33.  
  34. Where do you obtain Ali Baba ?
  35.  
  36.   [ ] CompuServe
  37.   [ ] America Online
  38.   [ ] Other BBS -- Please write name:
  39.   [ ] Internet site -- Please write name:
  40.   [ ] Shareware catalogue -- Please write name:
  41.   [ ] Work, a friend or a relative
  42.   [ ] CD-ROM disk
  43.   [ ] Other:_____________________________________________________
  44.  
  45.  
  46. What do you like/dislike about Ali Baba ?
  47.  
  48. _________________________________________________________________
  49.  
  50. _________________________________________________________________
  51.  
  52. _________________________________________________________________
  53.  
  54.  
  55. Suggestions about Ali Baba ?
  56.  
  57. _________________________________________________________________
  58.  
  59. _________________________________________________________________
  60.  
  61. _________________________________________________________________
  62.  
  63. Once again, thank you!
  64.