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Text File  |  1996-09-28  |  2.6 KB  |  57 lines
  1.  
  2.                      Registration form for Texture Garden
  3.                      ====================================
  4.  
  5. Name:
  6.                   __________________________________________
  7.                  |                                          |
  8.                  | ........................................ |
  9.                  |__________________________________________|
  10.  
  11. Desired "Info box" text: (if different from "Name", above):
  12.                   __________________________________________
  13.                  |                                          |
  14.                  | ........................................ |
  15.                  |__________________________________________|
  16.  
  17. Address:
  18.                  ___________________________________________
  19.                 |                                           |
  20.                 | ......................................... |
  21.                 |                                           |
  22.                 | ......................................... |
  23.                 |                                           |
  24. City........... | ......................................... |
  25.                 |                                           |
  26. County/Country. | ......................................... |
  27.                 |                                           |
  28. Postcode....... | ......................................... |
  29.                 |___________________________________________|
  30.         
  31. Version required:                                 Please tick
  32.                                                         ____
  33. Registered single user : Single user license.          |    |
  34.                          Registration cost: £8         |____|
  35.                                                         ____
  36. Registered super-user  : Single user license.          |    |
  37.                          Registration cost: £10        |____|
  38.                                                         ____
  39. Registered site        : Site license.                 |    |
  40.                          Registration cost: £10        |____|
  41.                                                         ____
  42. Please tick this box if you want "No Junkmail"         |    |
  43.                                                        |____|
  44.                                               ______________
  45.                                              |              |
  46.                                              |              |
  47. Sum enclosed................................ | ............ |
  48.                                              |______________|
  49.  
  50. Tim Tyler
  51.  
  52. The Mandala Centre
  53. 11 Alexandra Road
  54. Clifton
  55. Bristol
  56. BS8 2DD.
  57.