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Text File  |  1994-02-04  |  1KB  |  41 lines
  1.                                 DKLAUNCH
  2.                                Version 1.1
  3.                             REGISTRATION FORM
  4.                                     
  5. Disk Format  3.5" HD [ ]  5.25" HD [ ]
  6.  
  7. Name:_____________________________________________
  8.  
  9. Address:__________________________________________
  10.  
  11. __________________________________________________
  12.  
  13. City:_____________________State:_____Zip:_________
  14.  
  15.  
  16.  
  17. Number of copies _________ X $10.00 ____________
  18.  
  19. Missouri Residents add 5.225% Tax   ____________
  20.  
  21.               Shipping & Handling           1.25
  22.  
  23.                             Total   ____________
  24.  
  25.  
  26. Make Checks payable to:  Kelly Consultants
  27.                          Route 1
  28.                          Fordland, MO 65652
  29.  
  30. Credit Card Orders  (Mastercard or Visa)
  31.  
  32. Card # _________________________________________
  33.  
  34. Exp Date _________
  35.  
  36. Name on Card ___________________________________
  37.  
  38. or Call 417-767-4080
  39.  
  40. Please Mail your order to the above address.
  41.