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Text File  |  1991-10-31  |  800b  |  40 lines
  1. Use this form to register WordQz.  Please complete the form,
  2. print it, enclose  $15 US and send to:
  3.  
  4.             Hyrax Systems
  5.                P.O. Box 860611
  6.                Plano, Texas 75086-0611
  7.  
  8. ____________________________________________________________
  9.  
  10.            WordQz Registration Form
  11.             Version 1.00
  12. ____________________________________________________________
  13.  
  14.  
  15. NAME:     __________________________
  16.  
  17.  
  18. COMPANY:  __________________________
  19.  
  20.  
  21. STREET:   __________________________
  22.  
  23.  
  24. CITY:     __________________________   
  25.  
  26.  
  27. STATE:    __________________________  ZIP CODE: ____________
  28.  
  29.  
  30. DAY PHONE: _________________  NIGHT PHONE: _________________
  31.  
  32.  
  33. DISK SIZE: (Check One)
  34.  
  35.         ____ 5 1/4"  
  36.     
  37.         ____ 3 1/2"                
  38. ____________________________________________________________
  39.  
  40.