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  1.  
  2. Image Engineer Registration Form
  3. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  4.  
  5. With this I can know more about you, please send this with your
  6. registration (not obligatory).
  7.  
  8.  
  9. ---------------------------------------------------------------------------
  10.  
  11.  
  12.  
  13.  Name:              _____________________________________________
  14.  
  15.  
  16.  First name:        _____________________________________________
  17.  
  18.  
  19.  Handle:            _____________________________________________
  20.  
  21.  
  22.  Birth date:        __________
  23.  
  24.  
  25.  Address:           _____________________________________________
  26.  
  27.                     _____________________________________________
  28.  
  29.                     _____________________________________________
  30.  
  31.  
  32.  Country:           ______________
  33.  
  34.  
  35.  
  36.  Email:             _____________________________________________
  37.  
  38.  
  39.  
  40.  Job:               _____________________________________________
  41.  
  42.  
  43.  
  44.  Your Amiga System:
  45.  
  46.  _________________________________________________________________
  47.  
  48.  _________________________________________________________________
  49.  
  50.  _________________________________________________________________
  51.  
  52.  
  53.  Other computers:
  54.  
  55.  _________________________________________________________________
  56.  
  57.  _________________________________________________________________
  58.  
  59.  _________________________________________________________________
  60.  
  61.  
  62.  
  63.  What do you do with your Amiga:
  64.  
  65.  _________________________________________________________________
  66.  
  67.  _________________________________________________________________
  68.  
  69.  _________________________________________________________________
  70.  
  71.  
  72.  What version of Image Engineer do you have:
  73.  
  74.  
  75.  Version: ____
  76.  
  77.  
  78.  Where did you get this version of Image Engineer from:
  79.  
  80.  __ Aminet                     __ Magazine Coverdisk
  81.  
  82.  __ World Wide Web             __ Public domain library
  83.  
  84.  __ Aminet CD-ROM              __ Other _____________
  85.  
  86.  
  87.  What features would you like to see in the future:
  88.  
  89.  _________________________________________________________________
  90.  
  91.  _________________________________________________________________
  92.  
  93.  _________________________________________________________________
  94.  
  95.  
  96.  Any other comments:
  97.  
  98.  _________________________________________________________________
  99.  
  100.  _________________________________________________________________
  101.  
  102.  _________________________________________________________________
  103.