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  1.  
  2.  
  3.  
  4.                           YearIn 1.1 Registration
  5.  
  6.  
  7.  
  8.  
  9.        Name: ______________________________________________________
  10.  
  11.  
  12.        Company (optional): ________________________________________
  13.  
  14.        Street
  15.        Address: ___________________________________________________
  16.        (or
  17.        P.O.Box) ___________________________________________________
  18.  
  19.  
  20.        City: _____________________  State: _____  Zip: ____________
  21.  
  22.  
  23.        Individual license(s): __ ($10 each)
  24.  
  25.        Site-licence type:  __ State  __ Non-U.S. Country ($100 each)
  26.  
  27.                            __ U.S.   __ World w/o U.S. ($2500 each)
  28.  
  29.                            __ World ($5000)
  30.  
  31.        Quantity: ________  Amount enclosed: _______________________
  32.  
  33.        Internet e-mail address:   _________________________________
  34.  
  35.        Where did you find this program? ___________________________
  36.  
  37.        ------------------------------------------------------------
  38.  
  39.        Please make your check or money order payable to
  40.  
  41.                               David Wincelberg
  42.  
  43.        and mail it to the following address along with the top part
  44.        of this form.  Thank you.
  45.  
  46.  
  47.                            FileJockey Software
  48.                            YearIn 1.1 Registration
  49.                            289 S. Robertson Blvd., Suite 373
  50.                            Beverly Hills, CA 90211
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