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  1.  
  2.                     QRep 1.1 -- Registration Form
  3.  
  4.  
  5. Registration of QRep entitles you to technical support for the
  6. lifetime of the product.  You will also receive a disk containing the
  7. latest release of QRep and a key file which will remove the
  8. "Unregistered Evaluation Copy" tagline, place a registered serial
  9. number into the tearline, and allow you to use custom taglines.
  10.  
  11.  
  12. Name ________________________________________________________________
  13.  
  14. Address _____________________________________________________________
  15.  
  16. City ______________________________ State ______ Zip ________________
  17.  
  18. Telephone ___________________________________________________________
  19.  
  20. Where did you hear about QRep? ______________________________________
  21.  
  22. _____________________________________________________________________
  23.  
  24. Suggestions for future enhancements _________________________________
  25.  
  26. _____________________________________________________________________
  27.  
  28. _____________________________________________________________________
  29.  
  30. _____________________________________________________________________
  31.  
  32.  
  33. Number of QRep registrations ......................... ______________
  34.  
  35.                                                               x $7.00
  36.  
  37.                                             Total .... ______________
  38.  
  39.  
  40. Preferred disk size: ____ 360K 5.25"    ____ 1.44MB 3.5"
  41.  
  42.  
  43. Mail this form with your payment to:
  44.  
  45.                     Brian Showalter
  46.                     1620-B S. Burkwood Ct.
  47.                     Harrisonburg, VA 22801
  48.  
  49.  
  50.        Thank you for supporting QRep and the shareware concept!
  51.