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Text File  |  1993-01-30  |  2KB  |  73 lines

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  13.                                REGISTRATION FORM
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  15.              Please register the programs listed below in my name.
  16.  
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  18.       NAME: _____________________________________________________________
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  20.       ADDRESS: __________________________________________________________
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  22.       CITY: __________________________ STATE: ______ ZIP: _______________
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  25.        =======================================================
  26.          Ver. #  |          Program Description
  27.        __________|____________________________________________
  28.        __________|____________________________________________
  29.        __________|____________________________________________
  30.        __________|____________________________________________
  31.        Specimen  |
  32.        Choice #  |            Specimen Name
  33.        __________|____________________________________________
  34.        __________|____________________________________________
  35.        __________|____________________________________________
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  37.        Registration Fee                                  |___10.00___
  38.        Mississippi Residents add 7% SALES TAX:           |___________
  39.        Shipping & Handling:                              |____2.00___
  40.                                                          |
  41.        Specify 3.5"disk______ or 5.25"disk_____          |___________
  42.        ORDERS OUTSIDE U.S. & CANADA, ADD $5.00           |___________
  43.        TOTAL AMOUNT ENCLOSED:  ======================>>  |___________
  44.  
  45.        Make checks payable to: ========>>  Ray Johnson
  46.                      Remit to: ========>>  P.O. Box 963
  47.                                            Tupelo, Ms. 38802
  48.                                            -------------------------------
  49.     TERMS:  Money Order, Cashiers Check, Personal Checks.
  50.     Most orders are shipped out within 48 hours of receipt.
  51.  =========================================================================
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  53.        Please let me know where you obtained the shareware copy of the
  54.        program and any comments that you may have.  Thank you.
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