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Text File  |  1993-01-24  |  3KB  |  96 lines

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  5.                             Chatfield Software, Inc.
  6.                                   P.O. Box 115
  7.                                Hiram, Ohio 44234
  8.                      (216) 632-5447 or (800) 645-8806 (USA)        
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  13.         ----------------------------------------------------------------------
  14.         
  15.         
  16.                           "POETRIO" REGISTRATION FORM
  17.         
  18.         
  19.         By completing this form you become eligible for update informa-
  20.         tion and for writers' tip-sheets by Chatfield Software, Inc.  
  21.         You also become eligible to receive a 10% discount on other 
  22.         Chatfield Software products, free 800# support, and a bonus disk!
  23.         
  24.         Please send your check or money order for $20.00 along with this 
  25.         form to:
  26.                   Chatfield Software, Inc.
  27.                   P.O. Box 115
  28.                   Hiram, OH 44234
  29.         
  30.         You may also charge the $20.00 to your VISA or MasterCard by 
  31.         
  32.         providing your card number:______________________________
  33.         
  34.         and the expiration date:___________________ and by providing
  35.         
  36.         your signature here:_____________________________________.
  37.         
  38.         
  39.         Name:_____________________________________________________.
  40.         
  41.         Address:__________________________________________________.
  42.         
  43.         City & State:_____________________________________________.
  44.         
  45.         ZIP:________________         Today's date:________________.
  46.  
  47.         Disk size:  ___5 1/4"      ____3 1/2"
  48.         
  49.         Where did you obtain this software? 
  50.         
  51.         __________________________________________________________
  52.         
  53.         _________________________________________________________.
  54.         
  55.                             Thank you!  You'll be hearing from us!
  56.  
  57.         You may register with Visa or MasterCard by phoning:
  58.                           (800) 645-8806 (USA)
  59.                        or (216) 632-5447
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  83.                                                      PLACE 
  84.                                                      STAMP
  85.                                                      HERE
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  92.                         Chatfield Software, Inc.
  93.                         P.O. Box 115
  94.                         Hiram, OH 44234-0115
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