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Text File  |  1992-11-07  |  1.6 KB  |  55 lines
  1.                            REGISTRATION FORM for MODEDIT 3.0
  2.  
  3.              Name:    ___________________________________________________
  4.                       (first)                 (last)
  5.  
  6.              Address: ___________________________________________________
  7.  
  8.              ____________________________________________________________
  9.              CITY                   STATE          COUNTRY         ZIP
  10.  
  11.              E-Mail address (if any): ___________________________________
  12.  
  13.  
  14.              TYPE OF REGISTRATION: (check one)
  15.  
  16.              (  )  Basic registration:    $15.00 U.S. enclosed
  17.  
  18.              (  )  Level 2 registration:  $25.00 U.S. enclosed
  19.  
  20.              For level 2 registration only:
  21.  
  22.                    Type of diskette:  (  ) 3.5"    (  ) 5.25"
  23.  
  24.                    Density:           (  ) Low     (  ) High
  25.  
  26.  
  27.              GENERAL INFORMATION:
  28.  
  29.              Where did you hear about ModEdit?
  30.  
  31.              _____________________________________________________________
  32.  
  33.  
  34.              Comments/suggestions about ModEdit:
  35.  
  36.              _____________________________________________________________
  37.  
  38.              _____________________________________________________________
  39.  
  40.              _____________________________________________________________
  41.  
  42.  
  43.              Would you like to be informed of future ModEdit releases?
  44.  
  45.              (  ) Yes
  46.  
  47.              (  ) No
  48.  
  49.              Please mail this completed form, along with payment, to:
  50.  
  51.              Norman Lin
  52.              P.O. Box 2724
  53.              Norman, OK  73070-2724
  54.              U.S.A.
  55.