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Text File  |  1993-11-04  |  2KB  |  44 lines

  1.                             MPG Calculator v1.0 
  2.                       Copyright (c) 1993 Robert Wade       
  3.                             
  4.                             Registration Form
  5.  
  6. All information provided by you in this registration form is for use by
  7. the Author only and is kept in strict Confidence.
  8.  
  9.  
  10.  
  11. Name:____________________________________________________________________
  12.  
  13. Street Address: _________________________________________________________
  14.  
  15. City:_______________________________   State:_____   Zipcode:____________
  16.  
  17. Phone Number:____________________________________________________________
  18.  
  19.  
  20. Where did you obtain your copy of MPG Calculator? _______________________
  21. ( Please be as specific as possible, ie; Name of BBS, Disk Vendor, etc. )
  22.  
  23.  
  24. Comments and/or Suggestions:_____________________________________________
  25.          
  26. _________________________________________________________________________
  27.  
  28. _________________________________________________________________________
  29.  
  30. _________________________________________________________________________
  31.  
  32. _________________________________________________________________________
  33.  
  34. _________________________________________________________________________
  35.  
  36.  
  37. Send completed form along with $2.00 to:
  38.                                             
  39.                              Robert Wade
  40.                              423 Tringa Ct. W.
  41.                              Goose Creek, Sc 29445-6217
  42.                                             
  43. Make check or money order payable to: Robert Wade
  44.