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Text File  |  1996-03-30  |  1KB  |  61 lines
  1. Tablica/2 1.3 registration form
  2. -------------------------------
  3.  
  4.  
  5. Please fill out the following information:
  6.  
  7.  First Name:_______________________
  8.  
  9.   Last Name:_______________________
  10.  
  11. Register to:_______________________
  12. (if different than <Firstname Lastname>)
  13.  
  14.    Address:_________________________________
  15.    
  16.            _________________________________
  17.            
  18.            _________________________________
  19.            
  20.  
  21.                                  Optional:
  22.  
  23.                                  E-mail:___________________________________
  24.  
  25.                                     Fax:___________________________________
  26.    
  27.                                   Phone:___________________________________
  28.            
  29.  
  30.  
  31.  
  32. License:     [ ] single user (15 USD)
  33.  
  34.              [ ] site        (25 USD)
  35.  
  36.  
  37.  
  38. Total $$$ enclosed:_______________
  39.  
  40.  
  41. Comments:  _____________________________________________________________
  42.  
  43.            _____________________________________________________________
  44.            
  45.            _____________________________________________________________
  46.            
  47.  
  48.  
  49. I found my copy of Tablica on:__________________________________________
  50.  
  51.  
  52.  
  53. Attach check/cash/M.O. and mail it to:
  54.  
  55. PETER RACHWAL
  56. 1525 NE 7 ST
  57. GAINESVILLE, FL 32601
  58. USA
  59.  
  60.                               **** THANK YOU *****
  61.