Registration Card for FLM V2.3
                    ******************************

First Name  ..........................................................
Name        ..........................................................
Address     ..........................................................
ZIP City    .................. State and/or Country ..................
Phone:      ..........................................................
E-Mail:     ..........................................................

I would like to be registered for the following version:

5 DD disks .................................. 35 DM: []
3 HD disks .................................. 35 DM: []
Keyfile via e-mail .......................... 25 DM: []
Update FLM 2.0 to 2.2: (Keyfile via e-mail) . 00 DM: []
                       (5 DD disks) ......... 20 DM: []
                       (3 HD disks) ......... 20 DM: []

Payment Mode:

    Cheque enclosed                               []

    Credit transfer                               []

    Cash                                          []

    ...............................     .............................
    City, Date                          Signature


Following indications would help to improve FLM:

  Source of the FLM Shareware Version: (ex. Aminet, PD-Serie, CD, ...)

  ....................................................................

  Kickstart Version: ___.___
  Workbench Version: ___.___

  Computer Model: ...................................................
  CPU + MHz: ........................................................
  RAM: ..............................................................
  Hard Disk: ........................................................
  Monitor, Graphic Card: ............................................
  CD-ROM: ...........................................................

  Others:    ........................................................
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