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  1.                    BLAZER¬
  2.                 Mail Registration Form
  3.  
  4.                                                         Nathan Payne
  5.                                                                                                                                                                                                                                       2035 Georgetown Blvd.
  6.                                                                                                                                                                                                                                       Ann Arbor, MI  48105
  7.                                                                                                                                                                                                                                       transtemp@transtemp.com
  8.  
  9. ______________________________
  10. Name
  11.  
  12. ______________________________
  13. Address
  14.  
  15. ____________    ____    ___________
  16. City                                     State     Zip
  17.  
  18. ______________________________
  19. Phone
  20.  
  21. ______________________________
  22. Fax
  23.  
  24. ______________________________
  25. E-Mail
  26.  
  27. ______________________________
  28. Where Did You Get BLAZER? (optional)
  29.  
  30.  
  31.                          How would you like to receive your serial number? (circle one)
  32.                                                           Mail                 E-Mail
  33.  
  34.          ______________________________________________________________________________
  35.                                                      *We accept cash or checks only*
  36.                                   *** Checks must be made out to Nathan Payne ***
  37.        ______________________________________________________________________________
  38.  
  39. Please print, fill out, and mail this order form along with $15 cash or check to Nathan Payne (the author), at the above address.  You will then be given a registration code (either by mail or email) that will unlock the full features of BLAZER¬.  Thank You for supporting shareware!
  40. _____________________________________
  41. Blazer¬ ⌐ 1999 Nathan Payne, All Rights Reserved