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Text File  |  1992-07-11  |  749b  |  30 lines

  1. Convert Version 1.0 Utility Registration Form
  2.  
  3.  
  4. Name:___________________________________________________________
  5.  
  6. Address: _______________________________________________________
  7.  
  8. City: ______________________  State: _____  Zip: _______________
  9.  
  10.  
  11.  
  12. Convert Utility:  $19.95                             $__________
  13.  
  14. Sales Tax - Georgia residents only ( 5%)             $__________
  15.  
  16. Shipping & Handling:  $1.95                          $__________
  17.  
  18.                                   Total Enclosed     $__________
  19.  
  20. Send Check or money order payable to:
  21.  
  22.         GEP Software
  23.         P O Box  1541
  24.         Tucker, GA  30085-1541
  25.  
  26.  
  27. Program will be sent on 5.25" Low Density Disk
  28. Only US FUNDS Accepted
  29.  
  30. Please allow up to 21 days for delivery.