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Text File  |  1993-07-26  |  1KB  |  45 lines

  1. KillProc v1.00 Order Form
  2. -------------------------
  3.  
  4. Date: __________________
  5.  
  6. Name: ___________________________________________________________________
  7.  
  8. Street: _________________________________________________________________
  9.  
  10. City: _________________ State/Province:_______________ Zip: _____________
  11.  
  12. Country:_________________________________________________________________
  13.  
  14.  
  15. Phone#: _________________________________________________________________
  16.  
  17.  
  18. EMail: __________________________________________________________________
  19.  
  20.  
  21. Disk format:  [  ] 3.5"   [  ] 5.25"
  22.  
  23.  
  24. Registration --------------------------  $5 x quantity ______ = $________
  25.  
  26. Comments: _______________________________________________________________
  27.  
  28. _________________________________________________________________________
  29.  
  30. _________________________________________________________________________
  31.  
  32. _________________________________________________________________________
  33.  
  34.  
  35. Please make out a check or money order to Daniel Otis and
  36. send it along with this completed registration to:
  37.  
  38.   Daniel Otis
  39.   DSI
  40.   1889 Lindo St.
  41.   Benicia, CA  94510-2315
  42.  
  43. 
  44.  
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