HyperANSI Registration Form 1.07
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Please provide the following information,  and include a Money order or
check for $25 (US Funds) or $30 (CAN Funds) to receive the registered
HyperANSI program (the latest release) plus ANSI files, or send an amount
less than that to encourage the future development of HyperANSI, and mail
it to:

                             Mike D. Nelson
                             76 Olympus Ct #59
                             Sarnia, Ontario
                             CANADA  N7S 4S7

I can only accept personal cheques in US dollars drawn on US banks, OR
in Canadian dollars drawn on Canadian banks. Money orders are preferred
and will result in faster processing. Sending CASH is acceptable, but be
careful!


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Name   : ______________________________________________________________

Street : _______________________________________  Apt    : ____________

City   : ________________________________ State/Prov: _________________

Country: ________________________________ Zip/Postal: _________________

Email  : ______________________________________________________________

Are you a BBS sysop: _____   If yes, which BBS software _______________

Comment/Wishlist: (Write on back of form if needed)

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Amount : ________ US$/CANS ($25 US/ $30 CAN minumum needed for disk)

Date   : _________________________ Signature:__________________________


============================ please print =============================

   Please allow 2-4 weeks for delivery. Thank you for your support!