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  1. ╔══════════════════════════════════════════════════════════════════════════════╗
  2. ║                                                                              ║
  3. ║                  REGISTRATION FORM - POWER C SHELL v2.x                      ║
  4. ║                                                                              ║
  5. ║                                                                              ║
  6. ║   NAME:                                                                      ║
  7. ║         ────────────────────────────────────────────────────────────────     ║
  8. ║                                                                              ║
  9. ║   ADDRESS:                                                                   ║
  10. ║            ─────────────────────────────────────────────────────────────     ║
  11. ║                                                                              ║
  12. ║            ─────────────────────────────────────────────────────────────     ║
  13. ║                                                                              ║
  14. ║   CITY:                               STATE:           ZIP                   ║
  15. ║         ─────────────────────────────        ─────────      ────────────     ║
  16. ║                                                                              ║
  17. ║                                                                              ║
  18. ║                                                                              ║
  19. ║                                               Disk size desired:             ║
  20. ║   Registration fee:     $20.00                                               ║
  21. ║   CASH/CHECK discount: -  5.00                        5-¼"         (360K)    ║
  22. ║                        --------                            ───────           ║
  23. ║                         $15.00                                               ║
  24. ║   VA residents only:                                  3-½"         (720K)    ║
  25. ║   VA state sales tax       .68                             _______           ║
  26. ║                        --------                                              ║
  27. ║                         $15.68                                               ║
  28. ║                                                                              ║
  29. ║   Mail to:   Tay-Jee Software                                                ║
  30. ║              Post Office Box 835                                             ║
  31. ║              Lexington, VA 24450                                             ║
  32. ║                                                                              ║
  33. ║                                                                              ║
  34. ║   Where did you obtain your copy of this program?                            ║
  35. ║                                                                              ║
  36. ║                                                                              ║
  37. ║                                                                              ║
  38. ║   Comments/suggestions:                                                      ║
  39. ║                                                                              ║
  40. ║                                                                              ║
  41. ║                                                                              ║
  42. ║                                                                              ║
  43. ║             You should receive your program disk within 2 weeks.             ║
  44. ╚══════════════════════════════════════════════════════════════════════════════╝
  45.