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Text File  |  1995-06-24  |  2KB  |  50 lines
  1. --------------------------------------------------------------------------
  2.                        UFL v1.00 REGISTRATION FORM
  3. --------------------------------------------------------------------------
  4.  
  5.          YOUR NAME : _______________________________   (AS SHOULD APPEAR IN
  6.                                                         REGISTRATION)
  7.     POSTAL ADDRESS : ______________________________________________________
  8.  
  9.                      ______________________________________________________
  10.  
  11. VOICE PHONE NUMBER : ______________________
  12.  
  13.   E-MAIL ADDRESSES : ____________________________________   (IF APPLICABLE)
  14.  
  15.   BBS PHONE NUMBER : ______________________                 (IF APPLICABLE)
  16.  
  17.  
  18.                         ___
  19. I WOULD LIKE TO ORDER: |   | - JUST MY REGISTRATION -
  20.                        |___|   REGISTERED ($25)
  21.                         ___
  22.                        |   | - MY REGISTRATION FOR COMPANY USAGE -
  23.                        |___|   REGISTERED ($60)
  24.  
  25.  
  26. I AGREE TO THE UFL v1.00 TERMS, SET           ____________________________
  27. FORTH ON PAGE 9 OF THE MANUAL                 (SIGNATURE)
  28.  
  29. MAKE CHECKS PAYABLE TO:    TOM RUSSELLA
  30.                            BURLINGTON TWSP, NJ 
  31.                            APT. 217 - SUNSET RD. CHATEAU
  32.                            USA
  33.  
  34. +-- OFFICE USE ONLY ----------------------------------+
  35. |                                                     |
  36. | Rcvd : _______  Date : _________  S.N. : _________  |
  37. +-----------------------------------------------------+
  38.  
  39.  
  40. DO YOU HAVE ANY ADDITIONAL COMMENTS?
  41.  
  42.              ____________________________________________________________
  43.  
  44.              ____________________________________________________________
  45.  
  46.              ____________________________________________________________
  47.  
  48.  
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