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Text File  |  1996-07-29  |  1KB  |  27 lines
  1.                          Gold'N Years Registration Form
  2.  
  3.  
  4.  Name:     _____________________________________    Please send your $10.99 (US)
  5.                                                     registration fee along with
  6.  Company:  _____________________________________    this completed form to:
  7.  
  8.  Address:  _____________________________________      Maristream, Inc.
  9.                                                       2015 Franklin Street
  10.            _____________________________________      N. Little Rock, AR  72114
  11.                                                       (USA)
  12.  City:     _____________________________________
  13.  
  14.  State/Province:   _____________________________
  15.  
  16.  Zip/Postal Code:  _____________________________
  17.  
  18.  Country (if not USA):  ________________________
  19.  
  20.  E-Mail Address:  ______________________________  (for update notifications)
  21.  
  22.  Found At:  __________________________________________    Gold'N Years
  23.  (Internet Site Address, CD-ROM Collection Name, etc.)    Version Number:  ____
  24.  
  25.  Comments/Suggestions:
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