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REGISTER.TXT
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1992-06-17
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2KB
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55 lines
PPoint REGISTRATION Form
TO: Harvey Parisien
Box 323 Station A,
Kingston, Ontario, Canada K7M 6R2
613-389-3992 Data line FIDONET 1:249/114
Please find enclosed my registration fee of...
[ ] $15.00us NON COMMERCIAL USE... [ ] $85.00us COMMERCIAL USE...
...per installation by [ ] check, [ ] money order in US funds.
Date: _____/_____/_____ (mm/dd/yy) (Ontario orders add PST)
Organization: ____________________________________________ (if applicable)
Users Name: ____________________________________________
Mail Address: ____________________________________________
City, State: __________________________________(________)
Voice Phone: ____________________________________________
Data Phone/Address: ____________________________________
CURRENT PPOINT VERSION: _______________________________
COMMENTS: ___________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Yours truly;
___________________________________