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  1.                                                                      Vers. 4.0
  2.                         REGISTRATION FORM FOR PREUSR 4.0
  3.                         ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  4.  
  5.         For all registrations, you will receive free upgrades to minor
  6.         revisions of Previous User 4.x and you will receive complete support
  7.         via BBS or US mail.  Donators also will have access to the latest beta
  8.         versions of Previous User.  Fill in the blanks below and send this
  9.         page with your check or money order.
  10.  
  11.  
  12.           Your Name: ________________________________________________
  13.  
  14.  
  15.                BBS Name: ________________________________________________
  16.  
  17.  
  18.         Address: ________________________________________________
  19.  
  20.  
  21.            City: __________________State:________Zip:____________
  22.  
  23.  
  24.      Computer Brand: ______________________Model: ___________________
  25.  
  26.  
  27.          Where did you learn about PREUSR? ______________________________
  28.  
  29.  
  30.          Check appropriate box:
  31.  
  32.                 [ ] Non-commercial (hobbyist) registration - see below
  33.  
  34.                 [ ] Commercial / Institutional registration - $10
  35.  
  36.  
  37.          Amount to Send:
  38.  
  39.                 [ ] Post card enclosed
  40.  
  41.                 [ ] Hobbyist Donation ($5)
  42.  
  43.                 [ ] Commercial Fee    ($10)
  44.  
  45.          Please make your check payable to:   Gary Glueckert
  46.          and mail to:                         PO Box 961
  47.                                               Levittown, NY 11756  USA
  48.  
  49.  
  50.