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  1.                                 
  2.                               Chatfield Software, Inc.
  3.                                     P.O. Box 115
  4.                                   Hiram, Ohio 44234
  5.                         (216) 632-5447 or (800) 645-8806 (USA)                                        
  6.  
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  8.         ---------------------------------------------------------------------
  9.                                 
  10.                                 
  11.                            "BUDDY" 1.2 REGISTRATION FORM
  12.                                 
  13.                                 
  14.         By   completing  this  form you become legally  licensed  to  use 
  15.         "BUDDY"  and become eligible for update  information  and for   a   
  16.         10%   discount   on   other    Chatfield   Software products --as 
  17.         well as free support (our "800" no.)! You also receive a subscrip-
  18.         tion  to the "CHATFIELD SOFTWARE NEWSLETTER" with its  "TIP-SHEET 
  19.         FOR WRITERS."
  20.                                 
  21.         Please send your check or money order for $19.50 along with this
  22.         form to:
  23.         
  24.         
  25.                                   Chatfield Software, Inc.
  26.                                   P.O. Box 115
  27.                                   Hiram, OH 44234
  28.                                 
  29.                                 
  30.                                 
  31.         Name:_____________________________________________________.
  32.                           
  33.         Address:__________________________________________________.
  34.                                 
  35.         City & State:_____________________________________________.
  36.                                 
  37.         ZIP:________________         Today's date:________________.
  38.                                 
  39.         Disk size:   ___5 1/4"    ___3 1/2"
  40.                 
  41.         Where did you obtain this software? 
  42.                                 
  43.         __________________________________________________________
  44.                                 
  45.         _________________________________________________________.
  46.                                 
  47.         Charge my __Visa   __MasterCard No.________________________
  48.  
  49.           Exp. date:________       Signature:______________________
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  52.         Visa and MasterCard orders may phone: USA (800) 645-8806
  53.                                               or  (216) 632-5447
  54.  
  55.         Thank you!  You'll be hearing from us!
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  77.                                                  PLACE
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  79.                                                  HERE
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  86.                          Chatfield Software, Inc.
  87.                          P.O. Box 115
  88.                          Hiram, OH 44234-0115
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