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form.txt
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1993-03-22
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647b
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27 lines
REGISTRATION FORM
Picture Man for Windows ver. 1.55
NAME______________________________________________
STREET____________________________________________
CITY______________________________________________
STATE_________________________ ZIP____________
E_MAIL ADDRESS____________________________________
TELEPHONE NUMBER_____________________
Picture Man license number...................$49.00______
Please mail this form with check or money order in US $ to :
Igor Plotnikov
519 Barry Court,
Mechanicsburg, PA 17055
Allow 7 business days for personal check clearing.