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  1.                              REGISTRATION FORM
  2.           --------------------------------------------------------
  3.  
  4.           Mail to:              PCM Software
  5.                                 P.O. Box 1915
  6.                               Grafton, VA 23692
  7.  
  8.                                                 PRICE
  9.           ITEM                        QTY       EACH     QTY PRICE
  10.           ========================================================
  11.  
  12.           Register a copy or copies
  13.           of DOS Assistant.          ______  $  10.00   $_________
  14.           No VA sales tax on
  15.           registration only.                            $     0.00
  16.  
  17.           Send a copy or copies
  18.           of DOS Assistant diskette. ______  $  15.00   $_________
  19.           4% Virginia sales tax  
  20.           VA residents only.                            $_________
  21.                                                         
  22.           Send program source code.  ______  $  35.00   $_________ 
  23.           4% Virginia sales tax
  24.           VA residents only.                            $_________
  25.  
  26.           
  27.           
  28.                                                 TOTAL   $_________
  29.  
  30.           ========================================================
  31.  
  32.           Name     _______________________________________________
  33.  
  34.           Address  _______________________________________________
  35.  
  36.                    _______________________________________________
  37.  
  38.           City     ____________________________State_____Zip______
  39.  
  40.  
  41.                          THANK YOU FOR YOUR SUPPORT
  42.  
  43.