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  1.  
  2.                  ELECTRC8, Copyright 1991, By Robert J. La Capra
  3.  
  4.                         ==  REGISTRATION FORM  ==
  5.                                 APD1234
  6.        
  7.        SHIP TO:
  8.  
  9.        Name: _______________________________________________________
  10.        
  11.        Company: ____________________________________________________
  12.  
  13.        Address: ____________________________________________________
  14.        
  15.        City,State,Zip:______________________________________________
  16.        
  17.        Number Of Users ______ x $45.00 = Fee Enclosed: _____________
  18.  
  19.        Where did you obtain ELECTRC8 ?:
  20.        
  21.        _____________________________________________________________
  22.        
  23.        Suggestions & Comments, if you wish:
  24.        _____________________________________________________________ 
  25.        _____________________________________________________________
  26.        _____________________________________________________________ 
  27.        _____________________________________________________________ 
  28.        _____________________________________________________________ 
  29.        _____________________________________________________________ 
  30.        _____________________________________________________________ 
  31.  
  32.        
  33.        ==================================================================
  34.        Registration fee for ELECTRC8 is $45.00 for each user.
  35.        
  36.        Purchase orders without payment attached cannot be accepted.
  37.  
  38.        Send this form and registration fee to:
  39.                                             Robert J. La Capra
  40.                                             50 Hillside Terrace 
  41.                                             Andover, NJ 07821
  42.  
  43.        Once again, thanks for using and supporting ELECTRC8. As always, 
  44.        any questions, comments and suggestion are welcome. 
  45.        ==================================================================
  46.        
  47.  
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