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 |            DLS Development  Draw2Me  USER REGISTRATION FORM             |
 |                             INSTRUCTIONS:                               |
 |    Fill out all of the information on the attatched form completely and |
 | legibly. (Print or type.)  And send it to:                              |
 |                            DLS Development                              |
 |                             One Gale Road                               |
 |                           Brick, NJ,  08723                             |
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 | COMPANY:...........................................................     |
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 | LAST NAME:.........................................................     |
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 | FIRST NAME.............................  MIDDLE INIT:..............     |
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 | ADDRESS:...........................................................     |
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 | CITY:........................  STATE:.........  ZIP:...............     |
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 | HOME TELEPHONE #:(..........)-(..............)-(...................)    |
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 | BUS. TELEPHONE #:(..........)-(..............)-(...................)    |
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 | PLEASE CHECK ONE:    MONEY ORDER [ ]        CHECK [ ]      VISA [ ]     |
 |                 AMERICAN EXPRESS [ ]   MASTERCARD [ ]    C.O.D. [ ]     |
 | (Make payment for $89.95, plus $10.00 for shipping and handling.)       |
 | (In New Jersey, please add 6% sales tax.  Add $5.00 for C.O.D.)         |
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 | Card Number ................................ Exp.Date............       |
 |                                                                         |
 | AMOUNT INCLUDED (OR CHARGED TO Card):  $.............................   |
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 |    I have read and agree to the limited software license agreement      |
 | included in the README.DOC of this program.                             |
 |                                                                         |
 | SIGNATURE:.................................... DATE:.................   |
 | ----------------below is intended for office-use only------------------ |
 |                                                                         |
 | USER REGISTRATION NUMBER:.............................................. |
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 | DATE OF OFFICIAL REGISTRATION:......................................... |
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 | TELEPHONE ASSISTANCE CHECK (MINUTES): ...........  ...........          |
 |                                       ...........  ...........          |
 |                                       ...........  ...........          |
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