Registration Form for Turbo-Assembler (English Version)
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1. Name
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2. Address
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   Country
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3. Bank connection:
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   Account Number
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   Bank, Bank Code Number
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4. Method of Payment     _   transfer money
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                         _   enclosed cheque or money order
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                         _   enclosed cash payment
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                         _   COD (additional COD charges apply)
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5. Current Serial Number (if applicable)
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6. Type of Computer and Disk Drive (DS or SS)
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