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Text File  |  1993-03-02  |  1KB  |  43 lines
  1.  
  2.      Use the form below to register to use UniKEY series of 
  3. software programs for personal home use on a single computer. 
  4. Registration is for personal (home, non-business) use only.
  5.  
  6. Send to:
  7.  
  8.         UniKEY Informatica
  9.         435, Presidente Vargas Ave - 9 fl.
  10.         Centro - Rio de Janeiro - RJ
  11.         20.071.005 BRAZIL
  12.  
  13. ================================================================
  14.  
  15. Check/Money Order No.___________________ enclosed for $__________
  16.  
  17. OR CHARGE TO:  Master Card __________   Expiration Date__________
  18.  
  19. OR CHARGE TO:  Visa _________________   Expiration Date__________
  20.  
  21. OR CHARGE TO:  AMEX _________________   Expiration Date__________
  22.  
  23. Card Number:_____________________________________________________
  24.  
  25. Card Issued To:__________________________________________________
  26.  
  27. Signature:_______________________________________________________
  28.  
  29.  
  30. MAILING ADDRESS:
  31.  
  32. Name:____________________________________________________________
  33.  
  34. Address:_________________________________________________________
  35.  
  36. City/State/Province:_____________________________________________
  37.  
  38. Country/Postal Code:_____________________________________________
  39.  
  40. Telephone (Voice/FAX/Modem):_____________________________________
  41.  
  42.  
  43.