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Text File  |  1993-11-01  |  3KB  |  69 lines
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  2.        Ray Johnson        P. O. Box 963        Tupelo, Ms. 38802-0963
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  13.        ==============================================================
  14.                Program Description                         Reg. Fee
  15.        __________________________________________________|___________
  16.                                                          |
  17.        __________________________________________________|___________
  18.                                                          |
  19.        __________________________________________________|___________
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  21.        __________________________________________________|___________
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  23.        __________________________________________________|___________
  24.        Jewel     |
  25.        Choice #  |               Jewel Type
  26.        __________|___________________________________________________
  27.                  |
  28.        __________|___________________________________________________
  29.                  |
  30.        __________|___________________________________________________
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  32.        Total Registration Fee                            |___________
  33.        Mississippi Residents add 7% SALES TAX:           |___________
  34.        Shipping & Handling:                              |____2.00___
  35.        ORDERS OUTSIDE U.S. & CANADA, ADD $5.00           |___________
  36.        TOTAL AMOUNT ENCLOSED:  ======================>>  |___________
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  39.        Make checks payable to: ========>>  Ray Johnson
  40.                      Remit to: ========>>  P.O. Box 963
  41.                                            Tupelo, Ms. 38802
  42.                                            --------------------------
  43.        TERMS:  Money Order, Cashiers Check, Personal Check.
  44.        Most orders are shipped out within 48 hours of receipt.
  45.        ==============================================================
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  47.        We would appreciate it if you would tell us where you  received
  48.        your shareware version from.
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  50.        Shareware Vendor Name:________________________________________
  51.                         Location:____________________________________
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  53.        Bulletin Board Name:__________________________________________
  54.                       Location:______________________________________
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  57.                              THANK YOU FOR REGISTERING
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