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/ MacWorld 1999 April / Macworld (1999-04).dmg / Games World / SharewareGames / aWorm 1.0.2 / Registration Form < prev   
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  1.                   --- aWorm 1.0.2 Registration Form ---
  2. -----------------------------------------------------------------------------
  3. Requiced information: You must fill in all of these entries in order to
  4. register properly
  5. -----------------------------------------------------------------------------
  6.  
  7.               Your Name: ____________________________________________________
  8. Company Name (optional): ____________________________________________________
  9.  
  10.     Request license for: ( ) Personal Name         ( ) Company Name
  11.  
  12.   License should be sent ( ) Email 
  13.               to you by: ( ) Postal mail (This adds $2 to registration)
  14.  
  15.     Your postal address: ____________________________________________________
  16.                          ____________________________________________________
  17.                          ____________________________________________________
  18.                 Country: __________________
  19.                          (These are requiced if you wish to receive your
  20.                           registration via postal mail!)
  21.  
  22.           Email address: ____________________________________________________
  23.                          (This is requiced if you wish to receive
  24.                           your registration via email!)
  25.  
  26. -----------------------------------------------------------------------------
  27. Survey information: Not requiced for registration but recommended anyway.
  28. -----------------------------------------------------------------------------
  29.  
  30. Age: _____      Gender: ( ) Male      Occupation:
  31.                         ( ) Female    _______________________________________
  32.  
  33. Where did you find/hear about this game?
  34.  
  35. [ ] Info-mac           [ ] Amug           [ ] other FTP server
  36. [ ] www.shareware.com  [ ] Other site: ______________________________________
  37. [ ] www.download.com   [ ] a Magazine: ______________________________________                     [ ] Our website        [ ] on a CDROM: ______________________________________
  38. [ ] From a friend      [ ] Other:      ______________________________________
  39.  
  40. Other comments:
  41. _____________________________________________________________________________
  42. _____________________________________________________________________________
  43. _____________________________________________________________________________