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Text File  |  1995-03-04  |  342b  |  29 lines
  1.  
  2. Hex Ya! Registration Form
  3.  
  4. Please fill in the following information.
  5.  
  6. Name: 
  7. Address:
  8. City:
  9. State:
  10. Zip:
  11.  
  12. E-mail Address:
  13.  
  14. Home Telephone:
  15. Work Telephone:
  16. Fax:
  17.  
  18. Shareware Registration Fee:  $10.00
  19.  
  20. Please make checks payable to John Decker.
  21.  
  22. Mail To:
  23.  
  24. John Decker
  25. P.O. Box 21141
  26. Eagan, MN 55121
  27.  
  28. AOL:  JohnDecker
  29. Internet:  JohnDecker@aol.com