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Text File  |  1988-07-20  |  2KB  |  40 lines

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  8.      /__________/        /__/                  /__________/
  9.  
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  12.     
  13.  
  14. *              Registration form: The Structured Programming Language
  15.  
  16. Name:          ________________________________________________________
  17.  
  18. Street:        ________________________________________________________
  19.  
  20. City,State:    ________________________________________________________
  21.  
  22. Phone:         ________________________________________________________
  23.  
  24.  
  25.        I have used the Structured Programming Language for the one month trial
  26.        period and I am satisfied with it. I pledge to purchase the software
  27.        for an amount of  [] $50    [] $75    [] $100 and will make payment by
  28.        check made to Dennis Baer when I receive a bill for the amount.
  29.  
  30.  
  31.  
  32.                                        Signed:  ___________________________
  33.  
  34.  
  35.  
  36. Print out this form and send it with a self addressed stamped envelope to:
  37. Dennis Baer
  38. 25 Miller Road
  39. Farmingdale,NY 11735             516 694 5872
  40.