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  1.  
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  3.         MAIL TO:    Gerald M. Vrooman 
  4.                 6400 NY Rt 79 
  5.                 Chenango Forks, NY
  6.                 13746
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  10.                PDQ  REGISTRATION (ver. 1.31)
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  14.     NAME:     ____________________________________________________________
  15.  
  16.     ADDRESS:  ____________________________________________________________
  17.  
  18.               ____________________________________________________________
  19.  
  20.               ____________________________________________________________
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  30.     ____ Full registration @ $25.00  
  31.          (Includes a copy of the latest version
  32.               without nags, and bonus utilities.)          ____________
  33.  
  34.  
  35.     ____ Basic Site License @ $65.00    
  36.          (Up to three computers)                  ____________
  37.  
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  40.     ____ Additional computers @ $20.00                    ____________
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  44.     Total amount enclosed                                 ____________
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  49.         Please circle one:      5.25" disk      3.5" disk
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