Register MAKHLP 
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NAME:_________________________________________________________________

Company:___________________________________________________________________

Address:___________________________________________________________________

City/state:________________________________________________________________

Zipcode:___________________________________________________________________

Country:-------------------------------------------------------------------

E-Mail:____________________________________________________________________

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Pricing:
        Normal registration:
                300F for FRANCE                           (  )
                350F for other countries 70$

        
        Disk Format:    ( )3.5"   ( )5.25"


Propositions:___________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________




Signature:



payment:
              postal money-order


	VISA INTERNATIONAL:

	_ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _  Valid : _ _ / _ _


ADDRESS:

        Company WIN NOVATON INFORMATIQUE
        1107 Avenue Jacques CARTIER
        44811             SAINT HERBLAIN
                         FRANCE