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Text File  |  1998-03-23  |  1KB  |  56 lines
  1.           10-20-30 Program Registration Form
  2.           __________________________________
  3.  
  4. If you would rather use your credit card for
  5. payment and register online, check my website
  6. at www.enc.yk.net/10-20-30/ for details.
  7.  
  8.  
  9.  
  10. Your Name: _______________________________________
  11.  
  12. Street Address: __________________________________
  13.  
  14. City: ____________________________________________
  15.  
  16. Province/State: __________________________________
  17.  
  18. Postal Code/ZIP: _________________________________
  19.  
  20. Country: _________________________________________
  21.  
  22.  
  23. Optional: email address
  24. (I will email you the serial number if you provide it):
  25.  
  26. __________________________________________________
  27.  
  28. How did you learn about this program?
  29.  
  30. __________________________________________________
  31.  
  32. __________________________________________________
  33.  
  34. __________________________________________________
  35.  
  36. __________________________________________________
  37.  
  38.  
  39.  
  40.  
  41.  
  42. Mail this completed form to:
  43.  
  44. Rod Carty,
  45. 29 Bates Crescent,
  46. Whitehorse, Yukon, Canada
  47.   Y1A 4T8
  48.  
  49.  
  50. Include a money order for $15.00 in Canadian funds.
  51. (Sorry, no cheques accepted.)
  52.  
  53.  
  54. Thanks for supporting my efforts, and for supporting
  55. the shareware concept.
  56.