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  1. Sagerquist Micro Engineering                   VERIFY!.EXE  v3.9
  2. 1414 W. Kerrick St.                            Registration Form
  3. Lancaster, Ca. 93534
  4. Data BBS (805) 723-6908                         Date:___________
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  8.     Name:___________________________________________________
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  11.     Address:________________________________________________
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  14.     City, St., Zip:_________________________________________
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  17.     Internet/Online Service Address:________________________
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  20.     BBS Software:___________________________________________
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  23.     BBS Phone Number:_______________________________________
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  26.     VERIFY!.EXE registration is ....................  $15.00
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  28.     California residents add 8.25% ($1.24) Sales Tax:_______
  29.  
  30.     Make a check or money order payable to
  31.     Sagerquist Micro Engineering:            _______________
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  33.     From where did you receive your copy of VERIFY!.EXE?
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  36.     ________________________________________________________
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  39.     Comments or Suggestions?
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  41.     ________________________________________________________
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  43.     ________________________________________________________
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  45.     ________________________________________________________
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  47.     ________________________________________________________
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  49.     ________________________________________________________
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  51.     ________________________________________________________
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  53.     Thank you for your support.  
  54.  
  55. Carl Sagerquist
  56. Sagerquist Micro Engineering.
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