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Text File  |  1991-11-02  |  719b  |  32 lines
  1.                        Registration Form
  2.  
  3.                           Screenplay
  4.  
  5.  
  6. NAME________________________________________________________
  7.  
  8. COMPANY_____________________________________________________
  9.  
  10. STREET______________________________________________________
  11.  
  12. CITY________________________________________________________
  13.  
  14. STATE_________________________    ZIP_______________________
  15.  
  16.  
  17. Media type.......5.25"______.......3.5"______
  18.  
  19. Quantity _______..X..$15.00......................___________
  20.  
  21.                                                 $
  22. Total............................................===========
  23.  
  24.  
  25. Make checks payable to: Kamyan Software
  26.  
  27. Mail to:
  28.     Kamyan Software
  29.     1228 Robin Drive
  30.     Carol Stream, Il 60188
  31.  
  32.