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  1.           Virginia QSO Party Software Registration
  2.  
  3.  
  4. Name    ____________________________Callsign____________
  5.  
  6. Address ________________________________________________
  7.  
  8. City    ________________________________________________
  9.  
  10. State   ____________ Zip Code __________________
  11.  
  12. Serial Number __________________________
  13.  
  14.  
  15. Where did you receive this software? ____________________________
  16.  
  17. Do you plan to submit logs? _____ Yes  _____ No ______ Undecided
  18.  
  19.  
  20. ___  I received this software free from another HAM or from a BBS
  21.      and am sending $2.00 to help cover the cost incurred by the
  22.      developers.
  23.  
  24. ___  I bought the software for $5.00 
  25.  
  26.  
  27.  
  28. If you have any comments that would help the developers with the
  29. version for next year. Please include them.
  30.  
  31. ________________________________________________________________________________
  32.  
  33. ________________________________________________________________________________
  34.  
  35. ________________________________________________________________________________
  36.  
  37.  
  38. Please mail this completed form to:
  39.  
  40.            Steve Martin WA4ZAJ
  41.            Virginia QSO Party Software Registration
  42.            7405 Gresham Street
  43.            Springfield, Virginia 22151
  44.  
  45.