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Text File  |  1996-01-09  |  1KB  |  81 lines
  1. Command Line95 Registration Form
  2.  
  3. Command Line95 (C)opyright Joshua Seales, 1996
  4. ALL RIGHTS RESERVED
  5.  
  6. Fill out the form and send it along with a check
  7. for $5.00 to:
  8.  
  9. Joshua Seales
  10. 1313 Kennedy Plaza
  11. Utica, NY 13502
  12. USA
  13.  
  14. Note: This address is only valid until May 15, 1996.
  15. -----------------------------------------------------
  16.  
  17.  
  18. NAME:
  19.  
  20. _____________________________________________________
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  23.  
  24. ADDRESS:
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  26. _____________________________________________________
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  29. _____________________________________________________
  30.  
  31.  
  32. CITY                  STATE       ZIPCODE
  33.  
  34. ____________________  __________  ___________________
  35.  
  36.  
  37.  
  38. PHONE NUMBER
  39.  
  40. _____________________________________________________
  41.  
  42.  
  43.  
  44. NAME TO APPEAR IN REGISTRATION BOX:
  45.  
  46. _____________________________________________________
  47.  
  48.  
  49.  
  50. [_] CHECK HERE TO RECEIVE REGISTRATION CODE BY EMAIL
  51.  
  52. E-MAIL ADDRESS (If applicable):
  53.  
  54. _____________________________________________________
  55.  
  56.  
  57.  
  58. Where did you get Command Line95?
  59.  
  60. [_]    BBS:  ____________________________________
  61.  
  62. [_]    On-line Service: _________________________
  63.  
  64. [_]    CD-ROM collection: _______________________
  65.  
  66. [_]    Given to me by a friend/colleague/relative
  67.  
  68. [_]     Other ____________________________________
  69.  
  70.  
  71. Comments:
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  79.  
  80.  
  81. Thank you for registering Command Line95.