1           	                                                                                                         English - Franais
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UnWanted v1.3 Registration Form

Payments can be sent as international money orders, or, at your
very own risk, using cash. French Francs preferred, but any
other currency would be accepted.

Please fill in this form and mail it to:

Frdric Botton
55, bd Barbs
75018 Paris
France

            Name: ______________________ Date:___________

         Company: _______________________________________

         Address: _______________________________________

City, State, Zip: _______________________________________

         Country: _______________________________________

       Day Phone: ______________  Eve:  _________________

Electronic Mail address: ________________________________

How did you hear about UnWanted? __________________________

Comments:

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Feuille d'enregistrement d'UnWanted v1.3

Les paiements sont  effectuer par chques en Francs Franais libells  l'ordre de Frdric Botton, en mandats internationaux ou en liquide aux risques de l'expditeur. Les Francs Franais sont prfrs, mais toute autre devise sera accepte.

Veuillez remplir ce bulletin et l'envoyer  :

Frdric Botton
55, bd Barbs
75018 Paris
France

               Nom: ______________________ Date:___________

           Socit: _______________________________________

           Adresse: _______________________________________

Code Postal, Ville: _______________________________________

              Pays: _______________________________________

       Tl. journe: ______________  Tl. soire:_______________

Adresse Electronique (Email): ________________________________

O vous tes-vous procur UnWanted ? __________________________

Commentaires:

_ Date:___________

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