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Text File  |  1994-12-11  |  1.4 KB  |  49 lines
  1. Registration Form for Mod4Win 2.12
  2.  
  3.  
  4.  
  5. Name:          _____________________________________________________________
  6.  
  7. Company:      _____________________________________________________________
  8.  
  9. Mailing Address:  _____________________________________________________________
  10.  
  11. City, State, Zip: _____________________________________________________________
  12.  
  13. Phone Number:      _____________________________________________________________
  14.  
  15. E-mail Address:      _____________________________________________________________
  16.  
  17.  
  18.  
  19. How did you learn about Mod4Win?
  20.  
  21. _______________________________________________________________________________
  22.  
  23.  
  24.  
  25. Comments, Suggestions for Mod4Win:
  26.  
  27. _______________________________________________________________________________
  28.  
  29. _______________________________________________________________________________
  30.  
  31. _______________________________________________________________________________
  32.  
  33.  
  34.  
  35. Would you like to get informed about further developments?
  36.  
  37.     (   ) YES                    (   ) NO
  38.  
  39.  
  40. The following information about your hardware is optional, however if you 
  41. choose to provide it, you will help us serve our customers and their needs 
  42. better in the future:
  43.  
  44. Processor Type: ( ) 386 ( ) 486 DX ( ) 486 DX2 ( ) Pentium ( ) Other: _________
  45.  
  46. Processor Speed: ________MHz   Main Memory: ________MB   Hard Drive: ________MB
  47.  
  48. Sound Card: ____________________________   CD-ROM: ____________________________
  49.