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Text File  |  1993-05-10  |  3KB  |  46 lines
  1.                            TRANSCAN REGISTRATION FORM
  2.  
  3.  
  4.  
  5.  
  6.          If you like what TRANSCAN can do and have not registered then print
  7.          this registration form out and send it along with a check to:
  8.  
  9.          Craig E. Dunstan                                   ┌────────────┐
  10.          3760 SW Park South Ct Apt 102                      │ Cost: $30  │
  11.          Topeka, Ks. 66609-2106                             └────────────┘
  12.  
  13.          ┌───────────────────────────────────────────────────────────────┐
  14.          │ Name:                                                         │
  15.          │───────────────────────────────────────────────────────────────│
  16.          │ Address:                                                      │
  17.          │───────────────────────────────────────────────────────────────│
  18.          │ City:                              State:    Zip:             │
  19.          │───────────────────────────────────────────────────────────────│
  20.          │ HOME Phone No:                                                │
  21.          └───────────────────────────────────────────────────────────────┘
  22.          ┌───────────────────────────────────────────────────────────────┐
  23.          │ Comments:                                                     │
  24.          │                                                               │
  25.          │                                                               │
  26.          │                                                               │
  27.          │                                                               │
  28.          │                                                               │
  29.          │                                                               │
  30.          │                                                               │
  31.          └───────────────────────────────────────────────────────────────┘
  32.          ┌───────────────────────────────────────────────────────────────┐
  33.          │ Distributed by: Craig E. Dunstan                              │
  34.          └───────────────────────────────────────────────────────────────┘
  35.          ┌───────────────────────────────────────────────────────────────┐
  36.          │ MasterCard or Visa Payments welcome:                          │
  37.          │                                                               │
  38.          │ Account #:                            Expiration Date:        │
  39.          │───────────────────────────────────────────────────────────────│
  40.          │ Signature                                                     │
  41.          └───────────────────────────────────────────────────────────────┘
  42.  
  43.          Your registration procedure will be mailed to you upon receipt.
  44.          No disks will be mailed
  45.          
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