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Text File  |  1994-05-06  |  1KB  |  35 lines
  1.                    GusDelay v1.0 Registration Order Form
  2.                     (see REGISTER.TXT for instructions)
  3.  
  4.                        Information given here will NOT 
  5.                         be given to any mailing lists
  6.  
  7.                              Please print legibly
  8.  
  9.  
  10.                     Name: _________________________________________
  11.  
  12.                Address 1:__________________________________________
  13.  
  14.                Address 2:__________________________________________
  15.  
  16.                Address 3:__________________________________________
  17.  
  18.                     City: _________________________________________
  19.  
  20. State/Province/Territory: _________________________________________
  21.          
  22.          Zip/Postal Code: _________________________________________
  23.           
  24.           E-mail Address: _________________________________________
  25.  
  26.  Number of registrations: _____ * US$10 = US$ _____ total enclosed
  27.  
  28.  
  29. Send to:   David MacMahon
  30.            22 Lake Street
  31.            Waltham  MA  02154-3116
  32.            USA
  33.  
  34.  
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