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REGISTER.FRM
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1992-04-01
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1KB
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46 lines
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Patchwork Software Development
Product Registration Form
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Name ____________________________________________________
Address _________________________________________________
City ____________________________ State______ Zip _______
Phone (____)______-________ Date Mailed _____/_____/_____
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Product Ordered
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[ ] 5 1/4" Version of PWFOSSIL 1.01 with $7.50
source code and registered version
[ ] 3 1/2" Version of PWFOSSIL 1.01 with $10.00
source code and registered version
TOTAL $____.___
Mail to:
Jody Burrow
Patchwork Software Development
1611 E. Lark
Springfield, MO
65804-4351
Make checks payable to Jody Burrow.
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Comments
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Make all coments about this product and/or other products
you would like to see starting here and continue on the back
if you need to.