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Text File  |  1993-11-27  |  851b  |  34 lines

  1.                        Registration form for MODShell
  2.  
  3. Fill out this form and mail it along with $10 to:
  4.  
  5. Dolphin Software Registration Dept.
  6. 7443 Pirates Cove Ct
  7. Charlotte, NC 28227
  8.  
  9.  
  10. Please PRINT NEATLY on the blanks.
  11.  
  12. Name: _________________________________
  13. Street: ______________________________
  14. City: _____________________
  15. State: __
  16. Zip Code: __________
  17. Daytime Phone #: (___)___-____
  18.  
  19. Have you purchased any other Dolphin Software products?
  20. Yes [ ]
  21. No [ ]
  22. If so, which ones: ________________________________________________
  23.  
  24. Payment method:
  25. Check [ ]
  26. Money Order [ ]
  27.  
  28. Make checks payable to Dolphin Software.
  29.  
  30. Comments/Suggestions: ____________________________________________
  31. __________________________________________________________________
  32. __________________________________________________________________
  33.  
  34.