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Text File  |  1995-08-03  |  892 b   |  23 lines

  1.                AEROSOFT FITNESS LOG REGISTRATION INVOICE
  2.  
  3. Name    _____________________________________________________________________
  4.  
  5. Address _____________________________________________________________________
  6.  
  7. City    _____________________________________   State _____    Zip __________
  8.  
  9. (  ) Check    (  ) VISA/MC __________________   Exp Date ____________________
  10.  
  11. (  ) 3-1/2    (  ) 5-1/4 Inch Diskettes
  12.  
  13. (  ) Aerosoft Fitness Log.................................    $49  __________
  14.  
  15. (  ) Alford Basketball Log................................    $49  __________
  16.  
  17.      Indiana Residents Add 5% Sales Tax...................         __________
  18.  
  19. (  ) Include Shareware Version Of Online Bible At No Charge
  20.                                                             Total  __________
  21.  
  22. MAIL TO: AEROSOFT, PO BOX 501010, INDIANAPOLIS, IN 46256    PH#: 317-849-7659
  23.