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  1.                       REGISTRATION FORM
  2.                         FastExit v2.0
  3.  
  4. Use GO SWREG with ID=7107, or use this form.
  5.  
  6.  
  7. NAME______________________________________________
  8.  
  9. STREET____________________________________________
  10.  
  11. CITY______________________________________________
  12.  
  13. STATE_________________________     ZIP____________
  14.  
  15. TELEPHONE NUMBER_____________________
  16.  
  17.  
  18. FastExit license (each) number _____........$10.00...______
  19.  
  20. FastExit source code .......................$25.00...______
  21.  
  22. California residents add sales tax...................______
  23.  
  24. US residents - Shipping and handling........$ 4.00...______
  25.  
  26. Other - Shipping and handling...............$ 6.00...______
  27.                                                    ==========
  28.  
  29.         Total in US Funds drawn on a US Bank.........______
  30.  
  31. Please make checks payable to: Computer Business Associates
  32.  
  33. Mail to:
  34.  
  35.         Computer Business Associates
  36.         5962 Bowen Ct.
  37.         San Jose, CA 95123
  38.  
  39.         Phone  (408) 578-3568
  40.  
  41. Thank you for your support!!
  42.  
  43.  
  44.