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Text File  |  1994-02-21  |  1KB  |  46 lines
  1. Registration Form for Mod4Win 1.10
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  5. Name:          _____________________________________________________________
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  7. Company:      _____________________________________________________________
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  9. Mailing Address:  _____________________________________________________________
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  11. City, State, Zip: _____________________________________________________________
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  13. Phone Number:      _____________________________________________________________
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  15. E-mail Address:      _____________________________________________________________
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  19. How did you learn about Mod4Win?
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  21. _______________________________________________________________________________
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  23. _______________________________________________________________________________
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  25. _______________________________________________________________________________
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  29. Comments, Suggestions for Mod4Win:
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  31. _______________________________________________________________________________
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  33. _______________________________________________________________________________
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  35. _______________________________________________________________________________
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  39. Would you like to get informed about further developments?
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  41.     (   )   YES
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  43.     (   )   NO
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