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  4.  
  5.            Yes, I use BasicBasic and want to register.  I understand that
  6.            I will receive the next update to BasicBasic when it becomes
  7.        available. (Next 2 updates if order received by 2/28/94)
  8.  
  9.              NAME: ________________________________________________
  10.  
  11.              ADDRESS: _____________________________________________
  12.  
  13.              CITY: ________________________________________________
  14.  
  15.              STATE: _________    ZIP: __________
  16.  
  17.  
  18.               DISKETTE SIZE REQUIRED:  ( ) 3 1/2 high    ( ) 5 1/4 high
  19.  
  20.               VERSION OF BasicBasic I have: _____________
  21.               (If you already have the current
  22.                release we will start your
  23.                updates with the next.)
  24.               (Version number can be found on
  25.                Editor 'About' screen.)
  26.  
  27.               Registration fee:    $30.00
  28.  
  29.                         (Illinois residents add $1.88 sales tax)
  30.                         (Foreign orders: US funds only and add $5.00 shipping)
  31.  
  32.              Make check or money order payable to: Mark Davidsaver
  33.  
  34.              Mastercard/Visa also accepted:
  35.  
  36.              Credit Card Number: __________________________________
  37.  
  38.              Expiration: ____________
  39.  
  40.              Signature: ________________________________  _________
  41.                                                            (date)
  42.  
  43.  
  44.               MAIL TO:    MARK DAVIDSAVER
  45.                           213 S. PARK STREET
  46.                           PO Box 126
  47.                           BISHOP HILL, IL  61419
  48.  
  49.                              or phone
  50.  
  51.                           (309) 927-3303
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