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/ CU Amiga Super CD-ROM 23 / CU Amiga - Super CD-ROM 23 (June 1998).iso / CreatingGames / Utilities / Misc / Atlantis / Docs / RegForm.txt < prev   
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Text File  |  1997-05-02  |  1.7 KB  |  56 lines

  1. To:
  2.   Staffan Palmroos
  3.   Rydsvagen 250 C:17
  4.   584 34 Linkoping
  5.   SWEDEN
  6.  
  7. Please send me my keyfile for Atlantis to:
  8.  
  9.       Name:__________________________________________________________
  10.     Street:__________________________________________________________
  11. Zip & City:_______________________________    Country:_______________
  12.      Email:_______________________________  Telephone:_______________
  13.  
  14. I pay my shareware fee with: (please mark as appropriate)
  15.  
  16.               o  SEK 160,-                  o  UKP 15,-
  17.  
  18.               o  FIM 120,-                  o  DM  30,-
  19.  
  20.               o  USD  20,-
  21.  
  22. ... in bills, coming with this letter.
  23.  
  24. I got this program from: (please state one)
  25.  
  26.          o AmiNET                       o AmiNET CD-Roms
  27.  
  28.          o Local PD dealer              o Magazine coverdisk
  29.  
  30.          o Other ______________________
  31.  
  32. Please be more specific: (What CD-Rom/Dealer/Mag/Other ?)
  33.   _________________________________________________________________
  34.   _________________________________________________________________
  35.  
  36. My equipment and OS version:
  37.   _________________________________________________________________
  38.   _________________________________________________________________
  39.  
  40. Comments and suggestions:
  41.   _________________________________________________________________
  42.   _________________________________________________________________
  43.   _________________________________________________________________
  44.  
  45.  
  46. I have read the docs and agree with the terms stated there
  47.  
  48.  
  49. ___________________   _______________________________________________
  50.      (Date)                             (Signature)
  51.  
  52.  
  53. Staffan Palmroos' notes:
  54.  
  55. Kom ___________  Bet ___________   Lev ___________  Snr _____________
  56.