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REGISTER.DOC
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1993-03-01
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EASY-DOOR REGISTRATION FORM
---------------------------
First name : ______________________________
Last name : ______________________________
Address : ____________________________________________
City : ________________________
State/province : ____________________
Country : _________________
ZIP/postal code : _________________
Date : _________________
Where did you find Easy-Door? _______________________________________________
Disk format (circle your choice) : 3' 1/2" (720k) or 5' 1/4" (360k)
Easy-Door 25$ (US) or 30$ (CAN) X ___ = _____
If 3' 1/2" 1$ (US) or 1.20$ (CAN) X ___ = _____
TOTAL = _____
********************************************
Payment must be in US fund or Canadian fund.
********************************************
Comments: ___________________________________________________________________
___________________________________________________________________
___________________________________________________________________