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  1.           REGISTRATION FORM        BabyKeys for Windows (Version 1.0)
  2.  
  3.           Name:     _______________________________________________________
  4.  
  5.           Address:  _______________________________________________________
  6.  
  7.                     _______________________________________________________
  8.  
  9.           City:     ___________________  State: ___  Zip: _________________
  10.  
  11.           Tel.#:    (_____)  _____-__________
  12.  
  13.  
  14.           SHIP TO...
  15.           Name:     _______________________________________________________
  16.  
  17.           Address:  _______________________________________________________
  18.  
  19.                     _______________________________________________________
  20.  
  21.           City:     ___________________  State: ___  Zip: _________________
  22.  
  23.  
  24.           Diskette Size
  25.           (Please Circle One):     3 1/2 inch high density (DSHD)
  26.                                    3 1/2 inch double density (DSDD)
  27.                                    5 1/4 inch high density (DSHD)
  28.                                    5 1/4 inch double density (DSDD)
  29.  
  30.           Qty: _____ at $19.95 each     Sub Total:     _______________
  31.  
  32.           NJ Residents add 6% Sales Tax:               _______________
  33.  
  34.           Note: Shipping Cost:
  35.                US=$FREE, Can & Mex=$3, Other Int=$7    _______________
  36.  
  37.           Total:                                       _______________
  38.  
  39.           Make check payable in US currency to:  Multi-Computing
  40.                                                  1051 Stuyvesant Ave.
  41.                                                  Suite 347
  42.                                                  Union, NJ  07083
  43.  
  44.           Please allow 4 to 6 weeks for delivery. Sorry, no COD orders.
  45.