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Text File  |  1995-02-28  |  2KB  |  52 lines
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  6.                           DIRTOT REGISTRATION FORM
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  8.                              Quincunx Software
  9.                               8178 Aldgwen Rd.
  10.                             Barneveld, WI 53507
  11.                            Phone/FAX 608-924-5841
  12.                      E-Mail: 75240.2051@compuserve.com
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  15.      Name:     _______________________________________________________
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  17.      Company:  _______________________________________________________
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  19.      Address:  _______________________________________________________
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  21.                _______________________________________________________
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  23.      City:     ________________________  State: _____  Zip: __________
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  25.      Country:  _______________________________________________________
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  27.      Phone:    _______________________________________________________
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  30.      Please register DIRTOT Version 1.6 in the above name.
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  32.      _______ copies at $10.00 per copy.  Amount enclosed _____________
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  35.      Suggested enhancements:
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  37.      _________________________________________________________________
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  39.      _________________________________________________________________
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  41.      _________________________________________________________________
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  43.      _________________________________________________________________
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  45.      _________________________________________________________________
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  47.      _________________________________________________________________
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  49.      _________________________________________________________________
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  51.      _________________________________________________________________
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