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Text File  |  1995-11-01  |  1KB  |  58 lines

  1.  
  2.                         Registration form for BULBS
  3.                        _____________________________
  4.  
  5.  
  6.  
  7.  
  8.    YOUR NAME   :__________________________________________
  9.  
  10.  
  11.    PHONE NUMBER:________________________________________
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  13.  
  14.    FULL ADDRESS:_________________________________________
  15.  
  16.                 _________________________________________
  17.  
  18.                 _________________________________________
  19.  
  20.                 _________________________________________
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  22.  
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  24.    METHOD OF PAYMENT:   Check ___   Money Order ___   Cash ___
  25.  
  26.  
  27.    PC SYSTEM:     :__________________________________
  28.                        (e.g. 486DX/25, XT, 286/25)
  29.  
  30.  
  31.    VERSION of your current copy of BULBS: V_._
  32.  
  33.  
  34.    COMMENTS
  35.  
  36.    _____________________________________________________________________
  37.  
  38.    _____________________________________________________________________
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  40.    _____________________________________________________________________
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  42.    _____________________________________________________________________
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  44.    _____________________________________________________________________
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  46.    _____________________________________________________________________
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  51.               Send completed form & $2.00 registration fee to:
  52.  
  53.  
  54.                                 Paul Graydon
  55.                                P.O. Box 21057
  56.                         Castro Valley, Ca 94546-9057
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