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Text File  |  1996-06-28  |  1KB  |  48 lines
  1.  
  2.  
  3.  
  4.                           WRDGRB 1.4 Registration
  5.  
  6.  
  7.  
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  9.        Name: ______________________________________________________
  10.  
  11.  
  12.        Company (optional): ________________________________________
  13.  
  14.        Street
  15.        Address: ___________________________________________________
  16.        (or
  17.        P.O.Box) ___________________________________________________
  18.  
  19.  
  20.        City: _____________________  State: _____  Zip: ____________
  21.  
  22.  
  23.        Quantity: ________  Amount enclosed ($10 each): ____________
  24.  
  25.        SiteCode(s): _______________________________________________
  26.  
  27.        CompuServe e-mail address: _________________________________
  28.  
  29.        Internet e-mail address:   _________________________________
  30.  
  31.        Where did you find this program? ___________________________
  32.  
  33.        ------------------------------------------------------------
  34.  
  35.        Please make your check or money order payable to
  36.  
  37.                               David Wincelberg
  38.  
  39.        and mail it to the following address along with the top part
  40.        of this form.  Thank you.
  41.  
  42.  
  43.                            FileJockey Software
  44.                            WRDGRB 1.4 Registration
  45.                            289 S. Robertson Blvd., Suite 373
  46.                            Beverly Hills, CA 90211
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