
                 Registered Order Form


Name __________________________________________________

Address _______________________________________________

City _______________________ State/Province ___________ 

Country ________________________ Postal Code __________

E-mail address ________________________________________

To play VGA Planets you use:
    [ ]  Winplan Registered
    [ ]  Winplan Shareware
    [ ]  DOS Registered
    [ ]  DOS Shareware
    [ ]  VGA Planets Assistant

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1. Select products:

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Product            | Quantity |  Price      | Total   |
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[ ]  ADVANCED VCR  |          | 7 US.$      |         |
                   |          | 7 Euro      |         |
                   |          | 13.000 IT. |         |
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[ ]  VGA PLUS! SE  |          | 10 US.$     |         |
                   |          | 10 Euro     |         |
                   |          | 18.000 IT. |         |
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[ ]  ADVANCED VCR  |          | 13 US.$     |         |
     +VGA PLUS! SE |          | 13 Euro     |         |
                   |          | 24.000 IT. |         |
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2. Select Tech Support:
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Product            | Quantity |  Price      | Total   |
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[ ]  ADVANCED VCR  |          | 1 US.$      |         |
     Snail Mail    |          | 1 Euro      |         |
     Update        |          | 2.000 IT.  |         |
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[ ]  VGA PLUS!     |          | 1 US.$      |         |
     Snail Mail    |          | 1 Euro      |         |
     Update        |          | 2.000 IT.  |         |
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[ ]  ADVANCED VCR  |          | 1 US.$      |         |
     +VGA PLUS!    |          | 1 Euro      |         |
     Snail Mail    |          | 2.000 IT.  |         |
     Update        |          |             |         |
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E-mail updates are free.


3. Select media:
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Media              | Quantity |  Price      | Total   |
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[ ]  3.5" Floppy   |          |             |         |
                   |    1     |    Free     |  Free   |
                   |          |             |         |
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[ ]  CD-ROM        |          | 1 US.$      |         |
                   |    1     | 1 Euro      |         |
                   |          | 2.000 IT.  |         |
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TOTAL:					    |         |
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