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  1.  
  2.                             Registration form for Texture Garden
  3.                             ====================================
  4.  
  5.                           _________________________________________
  6.                          |                                         |
  7. Name.................... | ....................................... |
  8.                          |_________________________________________|
  9.                           _________________________________________
  10.                          |                                         |
  11. Desired info box text... | ....................................... |
  12. (if different from name) |_________________________________________|
  13.                           _________________________________________
  14.                          |                                         |
  15. Address................. | ....................................... |
  16.                          |                                         |
  17. Road.................... | ....................................... |
  18.                          |                                         |
  19. City.................... | ....................................... |
  20.                          |                                         |
  21. County/Country.......... | ....................................... |
  22.                          |                                         |
  23. Postcode/EMail.......... | ....................................... |
  24.                          |_________________________________________|
  25.  
  26. Version required       :                       Please select one box
  27.                                                               _____
  28. Registered Single User : Single user license.                |     |
  29.                          Registration cost: 8 UK Pounds      |_____|
  30.                                                               _____
  31. Registered Super User  : Single user license.                |     |
  32.                          Registration cost: 10 UK Pounds     |_____|
  33.                                                               _____
  34. Registered Site        : Site license.                       |     |
  35.                          Registration cost: 10 UK Pounds     |_____|
  36.                                                               _____
  37. Please tick this box if you want "No Junkmail"               |     |
  38.                                                              |_____|
  39.                                                      ______________
  40.                                                     |              |
  41. Sum enclosed........................................| ............ |
  42.                                                     |______________|
  43.  
  44.  _____  __  __  _____             The Mandala Centre,
  45. |_   _||  \/  ||_   _| 11 Alexandra Road, Clifton, Bristol, BS8 2DD.
  46.   | |  | |\/| |  | |     tim@varuna.demon.co.uk / tt@cryogen.com
  47.   |_|  |_|  |_|  |_|       http://www.varuna.demon.co.uk/tmc/
  48.