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Text File  |  1995-04-03  |  1.2 KB  |  48 lines
  1.  
  2.                              REGISTRATION
  3.  
  4.  
  5.         NAME:_______________________________________________
  6.  
  7.         ADDRESS:____________________________________________
  8.  
  9.         CITY:_______________________________________________
  10.  
  11.         STATE:______     ZIP CODE:___________________
  12.  
  13.         
  14.     FOR VISA AND MASTERCARD:
  15.  
  16.     AMOUNT CHARGED:$______________  EXPIRATION DATE:___________
  17.  
  18.     CARD NUMBER:________________________________________
  19.  
  20.     SIGNATURE:__________________________________________
  21.  
  22.  
  23.         I am registering the following programs:
  24.  
  25.         ____European 4 Languages 2.0       $14.95
  26.  
  27.         ____European 9 Languages           $14.95        
  28.  
  29.         ____Russian 2.0                    $12.00     
  30.  
  31.     ____English for Spanish Speakers   $12.00
  32.  
  33.         ____Amazing                        $12.00    
  34.  
  35.         Wishes, desires, demands and comments:______________
  36.  
  37.         ____________________________________________________
  38.        
  39.         ____________________________________________________
  40.  
  41.         Send the money to: 
  42.  
  43.                     Cragmont Services Ltd.
  44.                     1171 Cragmont Ave.
  45.                     Berkeley, CA 94708
  46.  
  47.  
  48.