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Text File  |  1992-04-15  |  1KB  |  43 lines

  1.  
  2.     ShapeShifter(tm) Version 1.01  Registration
  3.  
  4.     Name    ______________________________________________________________
  5.  
  6.     Address ______________________________________________________________
  7.  
  8.             ______________________________________________________________
  9.  
  10.     City    _______________________________ State _______ Zip ____________
  11.  
  12.     Day Tel #: __________________    Eve Tel #: __________________
  13.  
  14.     Amount  $__________(15.00 Per Copy)  Copies ____  Disk Format: _______
  15.                 (staple check to bottom of page)
  16.  
  17.     Signature: ____________________________________  Date: _______________
  18.  
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  20.  ---------------------------------- fold here --------------------------------
  21.                                     (tape)
  22.  
  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 --------------------------------
  43.