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 Personal number:......                        STN  
 Name:...................................          
 Date of birth:.../.../...                         
 Address:........................................  
 City:................ State/Province:.............
 ZIP/Postal Code:........ Phone number:............
 E-Mail:................                                  
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 Additional Information: (Mark with an X)          
                                                   
 1.About your computer:                            
 [] 386           [] Monochrome   [] SOUND BOARD   
 [] 486           [] CGA          [] CD-ROM        
 [] Pentium       [] EGA/VGA      [] MODEM         
 [] Macintosh     [] SVGA         [] SCANNER       
 [] ............  [] ...........  [] ............  
 RAM ... Mb   CPU ... MHz                          
                                                   
 2.Which of these subjects are you interested in? 
 [] Programming   [] Graphics     [] Education     
 [] Databases     [] Games        [] Internet        
 [] Word processors   [].........................         

