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                                UltraAmender   
                                registration
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Name:      ______________________________ 
                                                 
Street:    ______________________________ 
                                                  
City:      ______________________________ 
                                                 
Country:   ______________________________ 
                                                  
Phone:     ______________________________ 
                                                   

I would like to have the program on:    
                           
3 1/2: 720KB [ ]  -  1.44MB [ ]

I added the 20.-US$ in form of...                    
                    
               ...money (please no coins)       [ ]

               ...check				[ ]

               ...transfered to account         [ ]
                  (call me for info)

Some questions (only answer if you want):

My Computer:________________    My Soundboard(s) :_______________________ 

I installed: ______ kb memory on my GUS       I'm: ____ years old.


Comments, improvements etc. Please on the other side of the registration.


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Please send the registration to:

UltraAmender
c/o Henrik Karlsson
Ligusterv. 15
70375 rebro 
SWEDEN
