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  1.  
  2.                            ImageDex 2.1 Registration
  3.  
  4.                Send to:       Precision Imagery
  5.                               P.O. Box 20676
  6.                               Cranston, RI 02920
  7.                               USA
  8.  
  9. ------------------------------- Cut here 8< -------------------------------
  10.  
  11.  
  12. ______    ImageDex Registration fee............. @ US$15.00 ea. $ _________
  13.  
  14.  
  15.           SHIPPING & HANDLING  
  16.  
  17.           North America: $3;   Outside: $5                      $ _________
  18.  
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  21.                                                        SUBTOTAL $ _________
  22.  
  23.  
  24.  
  25.          Rhode Island residents add Sales Tax......@ 7% (ouch!) $ _________
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  29.                         TOTAL (U.S. funds drawn on a U.S. bank) $ _________
  30.  
  31.  
  32. Name: _____________________________________________________________________
  33.  
  34. Company (ONLY if company address): ________________________________________
  35.  
  36. Address: __________________________________________________________________
  37.  
  38.          __________________________________________________________________
  39.  
  40.          __________________________________________________________________
  41.  
  42.   Phone: _________________________
  43.  
  44.   Email: _________________________
  45.  
  46.   Where did you get ImageDex? _____________________________________________
  47.  
  48.  
  49. Problems, bugs, compliments, suggestions, flames: _________________________
  50.  
  51. ___________________________________________________________________________
  52.  
  53. ___________________________________________________________________________
  54.  
  55. ___________________________________________________________________________
  56.  
  57. ___________________________________________________________________________
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