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Text File  |  1994-07-24  |  1KB  |  49 lines
  1.                     DIRTOT REGISTRATION FORM
  2.  
  3.                         Quincunx Software
  4.                         8178 Aldgwen Rd.
  5.                        Barneveld, WI 53507
  6.                           608-924-5841
  7.  
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  9. Name:     _______________________________________________________
  10.  
  11. Company:  _______________________________________________________
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  13. Address:  _______________________________________________________
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  15.           _______________________________________________________
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  17. City:     ________________________  State: _____  Zip: __________
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  19. Country:  _______________________________________________________
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  21. Phone:    _______________________________________________________
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  24. Please register DIRTOT Version 1.5 in the above name.
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  26. _______ copies at $10.00 per copy.  Amount enclosed _____________
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  29. Suggested enhancements:
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  31. _________________________________________________________________
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  33. _________________________________________________________________
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