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  1.         AXDiff Registration Form
  2.         ------------------------
  3.  
  4. Name:    __________________________________________
  5.  
  6. Username:    ______________________
  7.  
  8. Reply type and address:
  9.  
  10. Address:__________________________________________
  11.     ( ) Compuserve    ( ) Internet    ( ) Postal
  12.  
  13.