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FF - Fruits Fields version 2.01                                REGISTRATION

Personal Information :-
    Your Name   : _________________________________________________________
    Home Address: _________________________________________________________
                  _________________________________________________________
    City/Country: _________________________________________________________
    Phone Number: Voice: ___________________    FAX: ______________________
    Email       : Internet: ___________________   CompuServe: _____________

BBS Information :- (necessary only if you operate a BBS)
    BBS Name    : _________________________________________________________
    Node Number : _______________________      Opening Hour: ______________
    BBS Software: _______________________      Phone: _____________________
    Network Join: _________________________________________________________

Product Information :-
    What do you like most about Fruits Fields: ____________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    Any comments or suggestions: __________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________

How would you like to receive your registered copy?  (mark an [X] below):
    [ ] Mail to me by postal             [ ] Direct netmail to my BBS
    [ ] Send to me through Internet      [ ] Send to me through CompuServe
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