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Text File  |  1992-05-12  |  1KB  |  47 lines
  1.  
  2.                        AC -The Archive Converter-
  3.                           Donald M. Langhorne
  4.                       South 5241 Columbia Avenue
  5.                           Hamburg, NY 14075
  6.                                 V2.14b
  7.                            Registration Form
  8.                            -----------------
  9.  
  10.     Name:________________________________________________
  11.     
  12.     
  13.     Company:_____________________________________________
  14.  
  15.     
  16.     Address:_____________________________________________
  17.  
  18.     
  19.     Address:_____________________________________________
  20.         
  21.     
  22.     City:__________________________  State:____  Zip:__________-______
  23.  
  24.  
  25.     Comments:_________________________________________________________
  26.  
  27.     __________________________________________________________________
  28.     
  29.     __________________________________________________________________
  30.         
  31.     Where you found AC:_______________________________________________
  32.  
  33.  
  34.     Item            Quantity    Unit    Total
  35.     =====================================================
  36.  
  37.           Registration of AC      ________    *$10    ______    
  38.  
  39.           Copy of Latest Version    
  40.           of AC on diskette.      ________      *$5     ______  (Optional)
  41.  
  42.               Diskette Size     5.25: ______ 3.5:_____
  43.           Overseas Orders   Please add $1 per license   ______    
  44.  
  45.  
  46.                            Grand Total:                 ______
  47.