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Text File  |  1992-10-13  |  990b  |  30 lines
  1.                                  SOURCE REGISTRATION
  2.  
  3.      Remit to:                From:
  4.  
  5.      Rick Maddy               Name:__________________________________
  6.      7111 Kurth Lane          Company:_______________________________
  7.      Seabrook, Md 20706       Street:________________________________
  8.      (301) 794-8466           City:__________________________________
  9.                               State/Zip:_____________________________
  10.      Compuserve Id:           Phone:_________________________________
  11.      76460, 1601
  12.                               Name to register in:
  13.                               (Up to 40 characters)
  14.  
  15.                               _______________________________________
  16.  
  17.  
  18.      Qty:                          Unit Price     Total:
  19.  
  20.      ____ SOURCE Software          $20.00         ________
  21.  
  22.  
  23.      Specify Disk Size:
  24.  
  25.      _____  5 1/4"       _____  3 1/2"
  26.  
  27.  
  28.      Current Version of Source:______________________________________
  29.  
  30.