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Text File  |  1992-10-08  |  680 b   |  30 lines
  1.                        Registration Form
  2.  
  3.                            Pendulous
  4.                           Version 1.0
  5.  
  6.  
  7. NAME________________________________________________________
  8.  
  9. COMPANY_____________________________________________________
  10.  
  11. STREET______________________________________________________
  12.  
  13. CITY________________________________________________________
  14.  
  15. STATE_________________________    ZIP_______________________
  16.  
  17.  
  18. Media type.......5.25"______.......3.5"______
  19.  
  20.  
  21. Price $15.00 * _________  (Quantity) =    Total $____________
  22.  
  23.  
  24. Make checks payable to: Kamyan Software
  25.  
  26. Mail to:
  27.     Kamyan Software
  28.     1228 Robin Drive
  29.     Carol Stream, Il 60188
  30.