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Text File  |  1996-12-26  |  1.9 KB  |  57 lines
  1.    -----------------------
  2.      Simone Tellini                      Order form for
  3.      Piazza Resistenza 2
  4.      42016 Guastalla RE                      STFax
  5.      ITALY
  6.    -----------------------
  7.  
  8.  
  9.         Dear Simone,
  10.  
  11.         I'd like to register to STFax, please send me my keyfile.
  12.  
  13.         I'd like to receive the keyfile by
  14.  
  15.             ( ) Snail Mail
  16.             ( ) E-Mail       (PGP public key needed)
  17.  
  18.         I include the registration fee of
  19.                                             ( ) LIT. 45.000 (Italy ONLY)
  20.                                             ( ) US $ 35     (Rest of the
  21.                                                              world)
  22.  
  23.         PLEASE DON'T SEND CHEQUES! I would prefer if you send me an
  24.         International Postal Money Order or cash.
  25.  
  26.  
  27.         Name  __________________    Surname  ________________________
  28.  
  29.         Address  ____________________________________________________
  30.  
  31.                  ____________________________________________________
  32.  
  33.                  ____________________________________________________
  34.  
  35.                  ____________________________________________________
  36.  
  37.         Country  _____________      Phone Number  +__________________
  38.  
  39.         FAX  ___________________    E-Mail  _________________________
  40.  
  41.         Date  __________________    Sign    _________________________
  42.  
  43.  
  44.  
  45. Amiga owned:               Kickstart:               Memory:   ___  Mb
  46.  
  47. ( ) 500    ( ) 500+        ( ) 1.3    ( ) 3.0       HardDisk: ___ Mb
  48. ( ) 2000   ( ) 3000        ( ) 2.04   ( ) 3.1
  49. ( ) 1200   ( ) 4000        ( ) 2.1                  Modem
  50.                                                     Model: ___________
  51.                                                     Baud:  ___________
  52.  
  53. Comments:
  54.     __________________________________________________________________
  55.     __________________________________________________________________
  56.     __________________________________________________________________
  57.