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Text File  |  1994-11-13  |  2KB  |  46 lines

  1.                              REGISTRATION FORM
  2.  
  3.         Mail to:  David Leithauser
  4.                   Leithauser Research
  5.                   4649 Van Kleeck Drive
  6.                   New Smyrna Beach, FL 32169
  7.  
  8.         Enclosed is $5.00 to register Screamer.
  9.  
  10.         Name              ________________________________________
  11.  
  12.         Street Address    ________________________________________
  13.  
  14.         City/State,Zip    ________________________________________
  15.  
  16.         When you register, you will receive the latest registered
  17.         version of Screamer, as well as a disk full
  18.         of other shareware products by Leithauser Research. Please
  19.         indicate your preferred type of IBM diskette.
  20.  
  21.         Preferred disk type:     5.25"     3.5"
  22.  
  23.         To help with distribution, we would like to know where you
  24.         obtained your copy of Screamer. Please specify
  25.         the online service (GEnie, CompuServe, etc.), BBS, shareware
  26.         distributor, or other source where you obtained your copy
  27.         of Screamer.
  28.  
  29.         I obtained Screamer from ______________________________
  30.  
  31.         ___________________________________________________________
  32.  
  33.         If you have one, please give your online address (Internet,
  34.         GEnie, America Online, or CompuServe address).
  35.  
  36.         Online address    ________________________________________
  37.  
  38.         Thanks for registering Screamer!
  39.  
  40.             David Leithauser
  41.             Compuserve:  74046,1556
  42.                  GEnie:  D.LEITHAUSER
  43.         America Online:  Leithauser
  44.               Internet:  74046.1556@compuserve.com
  45.  
  46.