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 Registration Form for Cerebro.
 This form is intended for users who do NOT reside in Malta.
 Prices are subject to change without prior notice. Always check the latest
 version of Cerebro for the latest prices.

 Mail to:

 Clyde Meli, B.Sc.,
 P.O. Box 51
 Msida
 Malta

 NAME ........:______________________________________________________________

 SURNAME......:______________________________________________________________

 ORGANISATION.:______________________________________________________________

 ADDRESS......:______________________________________________________________

 POSTCODE.....:____________ TOWN.........:___________________________________

 TELEPHONE....:______________________________________________________________

 COUNTRY......:______________________________________________________________

 SIGNED.......:______________________________________________________________

 LATEST VERSION OF CEREBRO OWNED:_________________________________________
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 I wish to order the following new versions of Cerebro
 when available (tick the  appropriate boxes)

 2.5b 2.5c 2.5d 2.5e 2.5f 3.0 3.1 3.2
 [ ]  [ ]  [ ]  [ ]  [ ]  [ ] [ ] [ ]


 on floppy disks of size

  3   
  [x]  

 at the price of

 [ ]  US $ 22.50 - Single-user license.
 [ ]  US $ 75.00 - Multiple-copy site license for organisations.

 per copy. Educational institutions can apply for discounts.
 Notice for individual users:
 Also, you may write down your e-mail address if you wish to 
 receive your registered version by e-mail instead.

 Subtotal..............................US $:_______________

 Registration Expenses.................US $:          6.90
 Postage and Packing:
  To the USA...........................US $:          16.00
  To Europe............................US $:          10.00
 (delete where appropriate)

 -----------------------------------------------------------

 Total.................................US $:_______________

 15% VAT...............................US $:
 -----------------------------------------------------------
 Total including VAT...................US $:_______________

 Payment is to be done by cheque. Sterling money orders are
 accepted.

 VAT Registration No: 1301-9236

 Write any suggestions you may have for improving Cerebro further
 in this space :_____________________________________________________________
 ____________________________________________________________________________
 ____________________________________________________________________________
 ____________________________________________________________________________
 ____________________________________________________________________________
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