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Text File  |  1994-06-28  |  2KB  |  48 lines
  1.   Please print out and fill in the form(type or print clearly) below
  2.   and send along with it 10 US(12 Canadian) Dollars to:
  3.  
  4.   Garth Dahlstrom
  5.   #701 - 5 BrookBanks Dr. 
  6.   Don Mills, ON
  7.   M3A 2S7
  8.   CANADA
  9.  
  10. -[Cut Here]------------------------------------------------------------------
  11.  
  12.                                  REGISTRATION
  13.  
  14.  
  15.         Name: __________________________________________________________
  16.  
  17.     Company: _______________________________________________________
  18.  
  19.         Telephone: ________________________CompuServe ID:_______________
  20. Send it
  21. Here[_] Address: _______________________________________________________
  22.  
  23. Here[_] Address: _______________________________________________________
  24.  
  25.         City: __________________________________________________________
  26.  
  27.         State/Country:______________________ Postal Code: ______________
  28.  
  29.   Disk Size               Number of Copies        Paying By 
  30.   [_] 3.5"  [_] 5.25"      __ X $10 US = ________  [_]Check  [_]Money Order 
  31.              __ X $12 CAN =________
  32.  
  33.   Bugs, Problems, Comments: ____________________________________________
  34.  
  35.      ___________________________________________________________________
  36.  
  37.      ___________________________________________________________________
  38.  
  39.      ___________________________________________________________________
  40.  
  41.      ___________________________________________________________________
  42.  
  43.      ___________________________________________________________________
  44.  
  45.      ___________________________________________________________________
  46.  
  47.      ___________________________________________________________________
  48.