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501 Great Games
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501 Great Games - Volume One (2001)(Guildhall Leisure Services).iso
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Hypervisual Blockworks
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blockworks32e.exe
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Order form.txt
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1998-07-24
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2KB
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51 lines
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To: Hypervisual Subject: Orders/BLW 2.x
Fax number: +55 51 311 3499
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O R D E R F O R M
» » » » » » » » »
PLEASE READ THIS BEFORE PROCEEDING
»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»
╖ Please type all data. Do not write directly on paper.
╖ All fields are required. Incomplete forms will not be processed.
╖ The data entered here will be processed by Hypervisual and the
credit card administrator only. The data is confidential. No
card data will be faxed back to you or e-mailed back to you.
╖ Print this form, sign it and send it to the fax number above.
╖ You will receive a registration key via e-mail in up to 3 days.
╖ Hypervisual will not be able to send registration keys via fax.
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PERSONAL DATA
»»»»»»»»»»»»»
Name :
Fax number :
E-mail :
Country :
PRODUCT INFORMATION
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Product : Hypervisual Blockworks 2.0
Price : US$ 19.95 per license
No. of licenses :
Total cost :
CREDIT CARD DATA
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Card : Visa [ ]
(check one) MasterCard [ ]
Diners [ ]
Cardholder name :
Expiration date :
Card number :
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I agree to all terms in the Software License Agreement.
Please sign : _________________________________________
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