G-TECHNOLOGY PROGRAMMING AND COMPUTER CLUB
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1. User Name:
2. Real Name:
3. Gender: Male[ ] Female[ ]
4. Age:
5. Date Of Birth:
6. Would you like to receive programming Yes[ ] No[ ]
notes and codes.
7. State:
8. Country:
9. Your Telephone Number:
10. Your Fax Number:
11. Your E-mail Address:
12. How Should G-TECHNOLOGY Contact You? [ ] Telephone [ ] Fax
13. Please type in your password :
14. What Programming Language Do You Prefer? [ ] BASIC
[ ] DBASE
[ ] C++
[ ] WEB DESIGN
[ ] Batch Files
15.OCCUPATION:
16.DO YOU HAVE EXPRIENCE IN PROGRAMMING: Y[] N[]
Please save the files.
Please put a x in the option box.
Send you form to gock@pl.jaring.my ----G-TECHNOLOGY 1998----