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                  Odometer v1.9 Registration Form
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 Send to:
        Mr Ribau Frederic            Date: ____________________
        83 av. de la republique
        92350 Le Plessis Robinson
        FRANCE

 From:
        Name: _________________________________________________

     Address: _________________________________________________

 City & area: _________________________________________________

     Country: _________________________________________________

     [Email]: _________________________________________________

 Where did you obtain your copy of Odometer? : ________________
     __________________________________________________________

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The license and registration fee is : 30 FF or $6 USD

Deliver my personal keycode...
    ( ) by Email
    ( ) by Letter; Add 5 FF ($1 USD)

Payment method (all orders must be prepaid):
    ( ) Cash included with this letter(most 'economical' method).
	Only French Franc (FF) and American Dollards (UDS) exchangeable 
	currencies are accepted.

    ( ) Cheque (Only French Cheque !).
        All cheques  must  be issued by,  and in the name of,  an  
        French accessible bank (i.e. BNP, CL, SG, ...);
        Personal cheques are -not- accepted.

                                              TOTAL FF or $  _______

                                        ENCLOSED IS:  ______________

AUTHORIZED SIGNATURE: ___________________________________________

		Thank you for your order!
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