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Text File  |  1993-04-05  |  1KB  |  40 lines
  1.  
  2.  
  3.                       Download Filter Registration
  4.  
  5.  
  6.       Name:__________________________________ Phone:(____)________
  7.  
  8.       Address:____________________________________________________
  9.  
  10.       City:____________________________________________ State:____
  11.  
  12.       Are there any additional features that you would like to see?
  13.  
  14.       _____________________________________________________________
  15.  
  16.       _____________________________________________________________
  17.  
  18.       _____________________________________________________________
  19.  
  20.       _____________________________________________________________
  21.  
  22.       Any other comments? _________________________________________
  23.  
  24.       _____________________________________________________________
  25.  
  26.       _____________________________________________________________
  27.  
  28.       _____________________________________________________________
  29.  
  30.  
  31.      After completing this registration form (or any piece of paper
  32.      containing the same information), mail it, along with your check
  33.      or money order for $5.00 (US), payable to Jon Estes, to:
  34.  
  35.                        Jon E. Estes
  36.                        65 Davis Rd.
  37.                        Chicopee, MA.  01022
  38.  
  39. 
  40.