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Text File  |  1995-11-29  |  877 b   |  45 lines
  1. ___________________ Order Form ___________________________
  2.  
  3.  
  4. Send To:
  5.  
  6. Erik Janssens
  7. Lipsestraat 47
  8. 3150 Haacht
  9. Belgium
  10.  
  11. Internet:    Erik.Janssens@ping.be
  12.  
  13. (  )  I enclose $10 for encouragement of continuing development
  14.  
  15.  
  16.           Name: _________________________ Date:_____________
  17.  
  18.  
  19.         Company: ____________________________________________
  20.  
  21.  
  22.         Address: ____________________________________________
  23.  
  24.  
  25. City, State, Zip: ____________________________________________
  26.  
  27.  
  28.         Country: ____________________________________________
  29.  
  30.  
  31.       Day Phone: _________________  Eve:  ___________________
  32.  
  33.  
  34. If you provide an electronic mail address, I will notify
  35. you about major updates as they become available.
  36.  
  37.  
  38. Electronic Mail address: _____________________________________
  39.  
  40.  
  41. How did you hear about WinFour ? ________________________
  42.  
  43.  
  44. Comments:
  45.