EUROSLOT REGISTRATION PAGE:EUROSLOT REGISTRATION PAGE 05/05/2009 09:05 Page 1
FREE PRIORITY REGISTRATION SERVICE
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Please tick the box that best describes your company’s
Name................................................................................
activity (please tick one only)
Job Title............................................................................
0101
▫
Amusement / coin-operated / video game operator
Company..........................................................................
Address ............................................................................
.......................................................................................... 0102
▫
Manufacturer of amusement / gaming equipment
..........................................................Postcode................
Telephone.........................................................................
0103
▫
Distributor of amusement / gaming products
Fax....................................................................................
Email.................................................................................
Website.............................................................................
0104
▫
Provider of services to amusement / gaming operations
0199
▫
Other (please specify)
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would benefit from receiving Euroslot magazine?
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Job Title............................................................................ How would you like to receive Euroslot (please tick)
Signature ...............................................Date...................
B1A
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Digital
Email.................................................................................
B1B
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Printed
Please sign and date for your free copy of
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B1C
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Both
Signature ...............................................Date...................
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