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  1.                          ---------------------------
  2.                          | Klax5 Registration Form |
  3.                          ---------------------------  v1.00
  4.  
  5. Name    : ___________________________________________________________
  6.  
  7. e-mail  : ___________________________________________________________
  8.  
  9. (if no e-mail:)
  10. address : ___________________________________________________________
  11.           ___________________________________________________________
  12.           ___________________________________________________________
  13.           ___________________________________________________________
  14.           ___________________________________________________________
  15.  
  16. where did you hear about Klax five? _________________________________
  17.  
  18.  
  19. Please remember to include the cheque for รบ10 sterling, made payable to
  20.   JS Greenwood
  21.  
  22. and mail all this to:
  23.   JS Greenwood
  24.    113 Crosland Road
  25.     Oakes
  26.      Huddersfield
  27.       West Yorkshire
  28.       HD3 3PW
  29.       England
  30.  
  31.  
  32. Thankyou for supporting shareware.
  33.