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     Simone Tellini                      Order form for
     Piazza Resistenza 2
     42016 Guastalla RE                      STFax
     ITALY
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        Dear Simone,

        I'd like to register to STFax, please send me my keyfile.

        I'd like to receive the keyfile by

            ( ) Snail Mail
            ( ) E-Mail       (PGP public key needed)

        I include the registration fee of
                                            ( ) LIT. 45.000 (Italy ONLY)
                                            ( ) US $ 35     (Rest of the
                                                             world)

        PLEASE DON'T SEND CHEQUES! I would prefer if you send me an
        International Postal Money Order, EuroCheque or cash.


        Name  __________________    Surname  ________________________

        Address  ____________________________________________________

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        Country  _____________      Phone Number  +__________________

        FAX  ___________________    E-Mail  _________________________

        Date  __________________    Sign    _________________________



Amiga owned:               Kickstart:               Memory:   ___  Mb

( ) 500    ( ) 500+        ( ) 1.3    ( ) 3.0       HardDisk: ___ Mb
( ) 2000   ( ) 3000        ( ) 2.04   ( ) 3.1
( ) 1200   ( ) 4000        ( ) 2.1                  Modem
                                                    Model: ___________
                                                    Baud:  ___________

Comments:
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