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  1. -------------------------------------------------------------------------------
  2.  
  3.               Registration Form for Reward Donation
  4.  
  5.  
  6. Yes!  I want to do what I can do nail these worms, so I'd like to
  7. donate the following hardware and software:
  8.  
  9. (Please  include the condition of what you're willing to  donate,
  10. it's  version  number (if any) and it's appoximate retail  value. 
  11. If you'd like to donate cash to be included in any reward, please
  12. indicate how much.)
  13.  
  14.  
  15. Software:____________________________________________________________________
  16.  
  17.          ____________________________________________________________________
  18.  
  19.          ____________________________________________________________________
  20.  
  21.  
  22. Hardware:____________________________________________________________________
  23.  
  24.          ____________________________________________________________________
  25.  
  26.          ____________________________________________________________________
  27.  
  28.  
  29. DO NOT SEND YOUR DONATIONS IN AT THIS TIME.   YOU'LL BE CONTACTED
  30. WHEN  (NOT IF!) THESE MISERABLE LITTLE BOILS GET LANCED AND  THEY
  31. GET CONVICTED OF WHATEVER WE CAN NAIL THEM ON.
  32.  
  33.  
  34. Name:_________________________________________________________
  35.  
  36. Title:________________________________________________________
  37.  
  38. Company:______________________________________________________
  39.  
  40. Address:______________________________________________________
  41.  
  42.         ______________________________________________________
  43.  
  44. City:   _____________________     State: _________  Zip:______
  45.  
  46. Telephone:__________________________________
  47.  
  48.  
  49. Please fill out this form, then mail it to:
  50.  
  51.      Ross M. Greenberg, Software Concepts Design
  52.      594 Third Avenue, New York, New York 10016
  53.  
  54. -------------------------------------------------------------------------------
  55.             THANKS FOR HELPING!  IT *IS* APPRECIATED!
  56.  
  57.