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Text File  |  1990-12-01  |  1KB  |  33 lines
  1.                           CYPHER 2.1 REGISTRATION FORM
  2.  
  3.      Complete and return, along with a check or money order for $10.00 to:
  4.  
  5.                                   Sean Robins
  6.                                2100 Walnut Street
  7.                             Philadelphia, Pa.  19103
  8.  
  9.  
  10. NAME:          ____________________________________________________________
  11.  
  12. STREET:        ____________________________________________________________
  13.  
  14. CITY:          _____________________________  STATE: ____  ZIP:  __________
  15.  
  16. DATE:          ___________________
  17.  
  18. AGE:           ________ (Optional)
  19.  
  20. WHERE DID YOU OBTAIN YOUR COPY OF CYPHER 2.1?
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  22.                ____________________________________________________________
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  24. WHAT DO YOU PRIMARILY USE CYPHER 2.1 FOR? (Type of applications, etc)
  25.  
  26.                ____________________________________________________________
  27.  
  28. WHAT KIND OF SYSTEM DO YOU USE?
  29.  
  30.                ____________________________________________________________
  31.  
  32. OTHER COMMENTS:
  33.