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- MED V1.25 for OS/2 registration form
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- Please fill in the needed information and send this form to
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- Via mail: Matthias Pfersdorff
- Marie-Alexandrastr. 3
- D-76135 Karlsruhe
- Germany
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- Via E-Mail: med@utopia-planitia.de
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- Please fill in your name and address:
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- __________________________________________________
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- __________________________________________________
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- __________________________________________________
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- __________________________________________________
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- Fax : ___________________________
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- E-Mail : ___________________________
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- OS : ( ) OS/2 Warp 4 ( ) OS/2 Warp 3 ( ) OS/2 Warp Connect
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- I have paid the registration fee ($25, DM40.-)
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- ( ) via Bank Transfer to Volksbank Karlsruhe
- (use only from inside Account 76 778 6
- Germany) BLZ 661 900 00
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- ( ) personal check
- ( ) cash
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- ________________ _____________________________
- date signature
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- comments and suggestions:
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- ________________________________________________________________
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- ________________________________________________________________
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- ________________________________________________________________
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