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CICA 1995 May
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UTIL
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CHASTITY
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REGISTER.FRM
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1992-08-21
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Chastity R E G I S T R A T I O N Pocket Change
Software
Route 8, Box 644
N. Wilkesboro, NC
28659
Your Name: ___________________________________
Your Address: ___________________________________
___________________________________
___________________________________
Your Phone #: ___________________________________
(we ask for this information so that we can send you the documentation and
other stuff as promised. If you don't want the stuff, check here [ ]).
The program name: ___________________________________
The program date: ___________________________________
The program size: ___________________________________
(we ask for this information to make sure no changes (viruses) are made to
the program. In this unlikely event, you will be contacted immediately).
How you received this program: ___________________________________
From whom did you receive it: ___________________________________
How much you paid to receive it: ___________________________________
How much business you give them: ___________________________________
(we ask for this information so that we can evaluate our distributors).
Your honest opinion of the program: ___________________________________
___________________________________________________________________________
___________________________________________________________________________
Your honest opinion our Service : ___________________________________
___________________________________________________________________________
___________________________________________________________________________
How can we make the program better: ___________________________________
___________________________________________________________________________
___________________________________________________________________________
(we ask for this information because we really do care. Your opinion of us
means everything. If there is ever anything we can do, please let us know).
Please mail this form, along with your registration fee to Pocket Change
Software at the address shown above.