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Text File  |  1993-01-28  |  1KB  |  45 lines
  1.  
  2.                             Registration form for:
  3.                         The Child's Productivity Pack
  4.               (c) Copyright 1993 - David S. Reinhart Associates
  5.                                 (717) 284-3736
  6.  
  7. *****************************************************************************
  8.  
  9.         Name_______________________________________________________
  10.  
  11.         Address____________________________________________________
  12.  
  13.         City, St, Zip______________________________________________
  14.  
  15.         Children's names and ages__________________________________
  16.  
  17.         From where did you receive these files?____________________
  18.  
  19.         ___________________________________________________________
  20.  
  21.         Additional Comments:_______________________________________
  22.  
  23.         ___________________________________________________________
  24.  
  25.         Please indicate which of the following programs you wish to
  26. register:
  27.  
  28.         ___ ABC................$9.00
  29.         ___ MATH PRIMER........$9.00
  30.         ___ MATH QUIZ..........$9.00
  31.         ___ COLOR..............$9.00
  32.         ___ DOT................$9.00
  33.  
  34.         Select any 3 for $24
  35.                any 4 for $30 or
  36.                all 5 for $35
  37.  
  38.         Please make all checks payable to David S. Reinhart and send
  39. with this registration form to:
  40.  
  41.                 David S. Reinhart Associates
  42.                 1004 Marticville Rd.
  43.                 Pequea, PA 17565
  44.  
  45.