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1992-03-25
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P C F I L E M A S D I R
--------------------------
Version 1.10
--------------
R E G I S T R A T I O N F O R M
-----------------------------------
Please complete all information and return this form along with
your check or money order in US funds payable to:
Mini Data Systems, Inc. P.O. BOX 641634, Kenner, LA 70064
COD's and purchase orders, unless prepaid will not be accepted.
US $40.00
+ 3.50 shipping and handling
---------
US $43.50 (U.S. and Canada)
US $45.00
+ 5.50 shipping and handling
---------
US $50.50 (International)
FIRST NAME _____________________________
MIDDLE NAME _____________________________ (if any)
LAST NAME _____________________________
COMPANY NAME _____________________________ (if any)
SHIPPING ADDRESS __________________________________
(please do not use a P.O. Box)
SHIPPING ADDRESS _________________________________
APT. or SUITE #___________
CITY _________________________________
STATE _________________ ZIP CODE ____________
COUNTRY ________________________________
TELEPHONE NUMBER (_____)____________________
SIGNATURE____________________________________ DATE_____________
- PC File MasDir, Version 1.10 - REGISTER.DOC -