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  1.       ╔═══════════ WORDS ALIVE v2.0 ══════ REGISTRATION FORM ══════════╗
  2.       ║                                    ║
  3.       ║   YOUR NAME: ___________________________________________       ║
  4.       ║                                    ║
  5.       ║   ADDRESS:   ___________________________________________       ║
  6.       ║                                    ║
  7.       ║          ___________________________________________       ║
  8.       ║   DISK SIZE : [ ] 5+1/4" DD (360 K)  [ ] 5+1/4" HD (1.2 MEG)   ║
  9.       ║           [ ] 3+1/2" DD (720 K)  [ ] 3+1/2" HD (1.4 MEG)   ║
  10.       ║                                    ║
  11.       ║       REGISTRATION FEE (U.S. Dollars)         $19.00        ║
  12.       ║                                    ║
  13.       ║       *LESS ALLOWANCE (UP TO $5.00)         ___________       ║
  14.       ║                                    ║
  15.       ║           TOTAL AMOUNT ENCLOSED         ___________       ║
  16.       ║ *If you had incurred a cost in obtaining a shareware version   ║
  17.       ║  of WORDS ALIVE,  you can deduct your cost of up to $5.00.     ║
  18.       ║  Please make check or money order drawn on U.S. bank           ║
  19.       ║  payable to:      LANA CHAKOFF                       ║
  20.       ║           P.O. BOX  2111                   ║
  21.       ║           LIVINGSTON, N.J. 07039-2111               ║
  22.       ║               U.S.A.                       ║
  23.       ╚═ Press <Print Screen> to print ═══ THANK YOU FOR YOUR SUPPORT ═╝
  24.