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Text File  |  1992-04-11  |  1KB  |  34 lines
  1. REGISTRATION FORM
  2.  
  3. QTY        PROGRAM NAME         PRICE     TOTAL
  4.  
  5. ___ X $5   BIKE WORKSHEETS               $_____
  6. ___ X $15  BICYCLE DEALER                $_____
  7. ___ X $15  BIKELOG                       $_____
  8. ___ X $15  BIKE GEAR CALCULATOR          $_____
  9. ___ X $15  BIKE INSURANCE                $_____
  10. ___ X $15  ULTIMATE BIKE LOG             $_____
  11. ___ X $15  APPOINTMENT SCHEDULER         $_____
  12. ___ X $15  SATELLITE INFORMATION         $_____
  13. ___ X $15  FIREARMS RECORDKEEPING        $_____
  14. ___ X $15  FAVORITE LOADS                $_____
  15. ___ X $15  KNIFE COLLECTOR               $_____
  16. ___ x $15  MOTORCYCLE MAINTENANCE        $_____
  17. ___ x $15  FAVORITE SCANNER FREQ         $_____
  18.  
  19.                                  TOTAL ->$______
  20.  
  21. NAME ___________________________________
  22. ADDRESS ________________________________
  23. CITY ___________________________________
  24. STATE ___________  ZIP _________________
  25. PHONE __________________________________
  26.  
  27. COMMENTS _______________________________
  28. _______________________________________
  29. ________________________________________       
  30.  
  31. SEND TO        KEVIN R. WONDERS
  32.                P.O.BOX 297
  33.                STANFORD,IL 61774-0297
  34.