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Text File  |  1994-11-20  |  1KB  |  51 lines
  1.  
  2.                        AC -The Archive Converter-
  3.                      Donald M. Langhorne
  4.                      6591 Hamilton Drive
  5.                        Derby, NY 14047
  6.                         Version 3.11
  7.                       Registration Form
  8.                       -----------------
  9.  
  10.     Name:________________________________________________
  11.     
  12.     
  13.     Company:_____________________________________________
  14.  
  15.     
  16.     Address:_____________________________________________
  17.  
  18.     
  19.     Address:_____________________________________________
  20.         
  21.     
  22.     City:__________________________  State:____  Zip:__________-______
  23.  
  24.  
  25.     CompuServe:______________________  BBS #: __________________
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  27.  
  28.     Comments:_________________________________________________________
  29.  
  30.     __________________________________________________________________
  31.     
  32.     __________________________________________________________________
  33.  
  34.         
  35.     Where you found AC:_______________________________________________
  36.  
  37.  
  38.     Item            Quantity    Unit    Total
  39.     =====================================================
  40.  
  41.           Registration of AC      ________  *$10    ______  
  42.  
  43.           Copy of Latest Version    
  44.           of AC on diskette.      ________      *$5     ______  (Optional)
  45.  
  46.               Diskette Size     5.25: ______ 3.5:_____
  47.           Overseas Orders   Please add $1 per license   ______  
  48.  
  49.  
  50.                            Grand Total:                 ______
  51.