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Text File  |  1990-05-25  |  1KB  |  43 lines

  1.  
  2.     LogiCat Version 1.73 Registration
  3.  
  4.     Name    ______________________________________________________________
  5.  
  6.     Company ______________________________________________________________
  7.  
  8.     Address ______________________________________________________________
  9.  
  10.             ______________________________________________________________
  11.  
  12.     City    _______________________________ State _______ Zip ____________
  13.  
  14.  
  15.     Amount  $____________________________________   Copies _______________
  16.                 (staple check to bottom of page)
  17.  
  18.     Signature: ____________________________________  Date: _______________
  19.  
  20.  ---------------------------------- fold here --------------------------------
  21.                                     (tape)
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  23.                                                                 +-------+
  24.                                                                 | place |
  25.                                                                 | stamp |
  26.                                                                 | here  |
  27.                                                                 +-------+
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  34.                                 Curtis Little
  35.                                 2413 San Felipe Way
  36.                                 Modesto, CA  95355
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  42.  ---------------------------------- fold here --------------------------------
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