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  1.                      Wolfware Assembler Registration Form
  2.  
  3.        ******************************************************************
  4.  
  5.        Send registration and payment to:
  6.  
  7.          Eric Tauck
  8.          Wolfware Programs
  9.          1304 Deerpass Road
  10.          Marengo, IL  60152
  11.  
  12.        Make checks payable to Eric Tauck.
  13.  
  14.        Item                                      Price    Qty    Extended
  15.        ======================================    =====    ===    ========
  16.  
  17.        WASM registration for one year           $10.00    ___    $_______
  18.  
  19.        Newest version of WASM program and
  20.        documentation on disk (must register
  21.        above or be registered)                   $5.00    ___    $_______
  22.  
  23.  
  24.                                                          Total   $_______
  25.  
  26.        Name _____________________________________________________________
  27.  
  28.        Company __________________________________________________________
  29.  
  30.        City _____________________________________________________________
  31.  
  32.        State _________________________________ Zip ______________________
  33.  
  34.        Phone ____________________________________________________________
  35.  
  36.  
  37.        ******************************************************************
  38.  
  39.        Thank-you for your support. If you have any comments or questions 
  40.        you can put them here or on the reverse side of this sheet.
  41. 
  42.