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  1.                       PDC Prolog Electronic Registration Form
  2.                       =======================================
  3.  
  4.  
  5.  
  6.    If you wish to register your product electronically, simply complete
  7.    the following form in the editor of your choice, and send an ascii
  8.    version thereof to one of the electronic addresses listed below:
  9.  
  10.  
  11.  
  12. Product Serial Number:
  13.                ---------------------------------------
  14.  
  15.                  Name:
  16.                    ----------------------------------------
  17.  
  18.               Company: 
  19.                        ----------------------------------------
  20.  
  21.               Address: 
  22.                        ----------------------------------------
  23.  
  24.  
  25.                        ----------------------------------------
  26.  
  27.                  City:
  28.                        ----------------------------------------
  29.  
  30.             State: 
  31.                        ----------------------------------------
  32.  
  33.                   Zip:
  34.                        ----------------------------------------
  35.  
  36.         Phone: 
  37.                        ----------------------------------------
  38.  
  39.         Purchase Date:
  40.                        ----------------------------------------
  41.  
  42.        Purchased From:
  43.                        ----------------------------------------
  44.  
  45.    Your Computer Type: 
  46.                ----------------------------------------
  47.  
  48.  
  49.              Comments:    
  50.                        
  51.  
  52.  
  53.  
  54.  
  55.  
  56.  
  57.      Send to:
  58.     
  59.                 In North America       Outside North America
  60.                 ============================================
  61.          MCI:   PDC-Atlanta            PDC-Copenhagen
  62.   Compuserve:   75300,165              72567,15
  63.      FAX:   404-872-5243           45-36-72-02-69            
  64.          BBS:   404-872-5358
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