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  1.  
  2.  
  3.                              PMDRAW Registration form
  4.                              ------------------------
  5.  
  6.                Please complete the following information and return this
  7.           form with your check or money order (please do not send cash) to
  8.           the address below.
  9.  
  10.           <Please Print Clearly>
  11.  
  12.              Name: __________________________________________________
  13.           Company: __________________________________________________
  14.  
  15.           Street Address: ___________________________________________
  16.                    __________________________________________________
  17.             City:  _____________________  State:___  Zip:______-_____
  18.  
  19.             Date:  ___-___-______
  20.  
  21.           Machines: < > 80286  < > 80386  Brand <_______________________>
  22.              Speed: <_______>
  23.              Disks: < > 360K     < > 720K
  24.                 OS: < > IBM OS/2 Version(s) <________>
  25.                     < > <_______________________> OS/2 Version(s) <_____>
  26.  
  27.           Kind of Work You Do:
  28.                   < > Programming   < > Quality Assurance  < > CASE Tools
  29.                   < > Engineering   < > CAD/CAM            < > Accounting
  30.                   < > Other (Please Specify) _____________________________
  31.  
  32.           Where did you find this product: _______________________________
  33.  
  34.           Comments/Suggestions about this product:
  35.  
  36.           _________________________________________________________________
  37.  
  38.           _________________________________________________________________
  39.  
  40.           _________________________________________________________________
  41.  
  42.           _________________________________________________________________
  43.  
  44.           _________________________________________________________________
  45.  
  46.  
  47.           Enclosed please find a check or money order for ____ copies 
  48.           of PMDRAW at $50 each for a total of $_______.
  49.  
  50.           Each Registration Package includes:
  51.  
  52.              1. A serialized copy of PMDRAW
  53.              2. Documentation
  54.              3. Product Updates
  55.              4. Support Information
  56.  
  57.           Please submit to:  Mark I. Walsh
  58.                              81 Witherbee Avenue
  59.                              Pelham Manor, NY 10803
  60.  
  61.