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Text File  |  1998-02-27  |  1KB  |  58 lines
  1.                                HOMERUN 1.03
  2.  
  3.                            Registration Form
  4.  
  5. Name:           ______________________________________
  6.  
  7.  
  8. Company:        ______________________________________
  9.  
  10.  
  11. Address:        ______________________________________
  12.  
  13.  
  14.                 ______________________________________
  15.  
  16.  
  17. City:           ______________________________________
  18.  
  19.  
  20. Country:        ______________________________________
  21.  
  22.  
  23. Email:          ______________________________________
  24.  
  25.  
  26. Fax:            ______________________________________
  27.  
  28.  
  29. Payment Method:  
  30.  
  31.  
  32. Visa: _____ MC: ____     Card No.: _________________________  Expiry: _____
  33.  
  34.  
  35. cheque ____ bank draft ____
  36.  
  37.  
  38. Price:  US $29.00 per copy (plus shipping if you want a disk).
  39.  
  40.  
  41. Upon Registration a registration No. will be Emailed, faxed or mailed to you.
  42.  
  43.  
  44. Email, fax or mail to:
  45.  
  46.                 Crystal Environmental Inc.
  47.  
  48.                 1923 W 41 Ave.
  49.  
  50.                 Vancouver, BC  V6M 1Y5
  51.  
  52.                 Ph: 604-266-0422
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  54.                 Fax: 604-266-2544
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  56.                 Email:  brow139@ibm.net
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  58.