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  1.  
  2.                                                                      
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  5.                                 REGISTRATION FORM
  6.            
  7.            
  8.                                  Remind, Ver 4.6
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  12.               Name:__________________________________________________
  13.            
  14.            
  15.            Address:__________________________________________________
  16.            
  17.            
  18.                     _________________________________________________
  19.  
  20.  
  21.            Where did you get REMIND: ________________________________  
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  24.            Your system hardware:_____________________________________
  25.  
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  27.            Type of disk desired:  5.25 inch________   3.5 inch ______
  28.  
  29.            Type of monitor
  30.            Please choose one :  (1) VGA (2) EGA (3) CGA (4) Hercules
  31.  
  32.  
  33.            Doy you have a modem? [ Y / N ]___________Baud ___________  
  34.  
  35.            Phone number for your modem (optional) ___________________
  36.  
  37.            Comments regarding REMIND version 4.6:
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  40.            ___________________________________________________________
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  43.            ___________________________________________________________
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  45.            
  46.            ___________________________________________________________
  47.            
  48.            
  49.            Send this form along with $10 to
  50.            
  51.                               Robert M. W. Tsou
  52.                               28441 Cedarbluff Dr.
  53.                               Rancho Palos Verdes, CA 90274
  54.            
  55.            Thank you for your support!
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