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Text File  |  1997-04-17  |  2KB  |  53 lines

  1.                          CaseLinr Registration Form
  2.                                 Version 4.8
  3.  
  4.  
  5. [ ] Registration ($18)                                           ______
  6.  
  7. [ ] Other (tokens of esteem, unclaimed inheritances, ...)        ______
  8.  
  9.                                                       Total:     ______
  10.  
  11. If you have registered a previous version, you don't have to re-register this
  12. version.  However, if you feel a burning desire to send me more money, I will
  13. not refuse it!  All suggestions, comments, criticisms, and modification
  14. requests are welcome -- those coming from registered users will have priority.
  15.  
  16.  
  17. Name:     _________________________________________________________________
  18.  
  19. Address:  _________________________________________________________________
  20.  
  21.           _________________________________________________________________
  22.  
  23.           _________________________________________________________________
  24.  
  25.  
  26. E-Mail:   -----------------------------------------------------------------
  27.  
  28. Comments: _________________________________________________________________
  29.  
  30. ___________________________________________________________________________
  31.  
  32. ___________________________________________________________________________
  33.  
  34. ___________________________________________________________________________
  35.  
  36. ___________________________________________________________________________
  37.  
  38. Where did you get CaseLinr: _______________________________________________
  39.  
  40.  
  41. All funds should be in US dollars -- cash, check (drawn on US banks only),
  42. money order, or postal money order.  I don't wish to belittle foreign
  43. currency, but the local banks (in a small town) charge a very unattractive
  44. (to me) fee to exchange currency.  No credit cards -- I haven't made it to
  45. the big time.
  46.  
  47. Please make all checks payable to Ed Adasiewicz, and forward your payment
  48. along with this form to:
  49.  
  50.                         Ed Adasiewicz
  51.                         260 Richmond Lane
  52.                         Village of Lakewood, IL  60014
  53.