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Text File  |  1994-05-27  |  1.4 KB  |  46 lines

  1. -----------------------------------------------------------------------------
  2.                               REGISTRATION FORM
  3. -----------------------------------------------------------------------------
  4.  
  5.                             VISTA Conversions 3.0
  6.  
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  8.  
  9. COMPANY: ____________________________________________________________________
  10.  
  11. NAME: _______________________________________________________________________
  12.  
  13. ADDRESS: ____________________________________________________________________
  14.  
  15. CITY: _______________________________________  STATE: _______________________
  16.  
  17. ZIP: _____________
  18.  
  19. REGISTERED(Y/N): ___  REGISTRATION NUMBER: _______
  20.  
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  22.  
  23. DISK SIZE:  5.25" 1.2M ___
  24.             5.25" 360K ___
  25.             3.5" 1.44M ___
  26.             3.5"  720K ___
  27.  
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  29.  
  30. REGISTRATION FEES:
  31.  
  32.     New users ............ $15.00
  33.  
  34.     Registered owners .... $10.00 (Registration # required)
  35.  
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  37.  
  38. Send the completed form to:
  39.  
  40. GENESIS Consulting
  41. 543 Robin Hood Rd.
  42. Havre de Grace, MD. 21078
  43.  
  44. NOTE: Please make checks payable to Roger N. Renfro.  U.S. Banks Only
  45.  
  46.