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  1.  
  2.                            REGISTRATION FORM
  3.  
  4.                         Mail to:
  5.                           TDM Software c/o Chris Hettinger
  6.                           3054 Pritchard Hall - East; Va. Tech
  7.                           Blacksburg, VA.  24060-0023
  8.  
  9.      Date: __ - __ - 92
  10.  
  11.  
  12.      Name: ______________________________  Voice Phone:  ___ - ___ - ____
  13.  
  14.      Address: ___________________________________________________________
  15.  
  16.      City: ___________________  State :____________  Zip Code: __________
  17.  
  18.  
  19.      BBS Name: _____________________________  BBS Phone: ___ - ___ - ____
  20.  
  21.      BBS Handle: ________________________________________________________
  22.  
  23.      BBS Software: _____________  Version: _________  Modem: ____________
  24.  
  25.      Network Address(s): ________________________________________________
  26.  
  27.  
  28.      Disk Media You Prefer:  360K [_]  720K [_]  1.2M [_]  1.44M [_]
  29.  
  30.      Payment: Money Order [_]  Check [_]
  31.                 in U.S. FUNDS, Made out to Chris Hettinger
  32.  
  33.  
  34.       PROGRAM     DESCRIPTION             VERSION    COST/COPY     AMOUNT
  35.      ____________________________________________________________________
  36.  
  37.      AutoDOX      Pascal documentation     2.00        $25       ________
  38.      DESTROY      DOS dir. tree removal    4.00        $10       ________
  39.  
  40.                                                        Total     ________
  41.  
  42.  
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