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Text File  |  1993-05-03  |  806 b   |  31 lines
  1. OFFLINE REGISTRATION APPLICATION
  2.  
  3. TO:   Harvey Parisien
  4.       Box 323 Station A,
  5.       Kingston, Ontario, Canada K7M 6R2
  6.       FIDONET 1:249/114
  7.  
  8. Please find enclosed my registration fee of...
  9.  
  10.     [ ] COMMERCIAL USE: $45.00 per installation.
  11.  
  12.     [ ] PRIVATE USE:     $5.00 per installation.
  13.  
  14.  
  15.  
  16.         Date: _____/_____/_____ (mm/dd/yy)
  17.  
  18. Organization: ____________________________________________ (if applicable)
  19.  
  20.   Users Name: ____________________________________________
  21.  
  22.      Address: ____________________________________________
  23.  
  24.  City, State: __________________________________(________)
  25.  
  26.        Phone: ____________________________________________
  27.  
  28. Current Version you are using of OFFLINE: ________________
  29.  
  30. Fido Address where you can be contacted:  ________________
  31.