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ORDER.FRM
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Text File
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1994-05-06
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1KB
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39 lines
Registration Form
Name: ________________________________________________________________
Street: ______________________________________________________________
City: ____________________ State: ______ Zip code: ___________________
Country: _____________________________________________________________
Phone: _______________________________________________________________
Program registering: _________________________________________________
Type of disk: 3 1/2: ____________________ 5 1/4: _____________________
Computer: ____________________________________________________________
On-line service or BBS's: ____________________________________________
______________________________________________________________________
Where did you get the program: _______________________________________
______________________________________________________________________
Amount enclosed: _____________________________________________________
* Add $1.00 shipping to Canada and Mexico. Add $3.00 shipping to
anywhere outside of North America.
Send to:
Burnham Park Software, Inc.
P.O. Box #814
Chicago, IL 60690-0814