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  1.                                 PrefKiller 1.0 Registration Form
  2.  
  3. Name
  4.                                                                                                   
  5. Organization
  6.                                                                                                   
  7. FAX (With your country and area code)
  8.                                                                                                   
  9. E-mail
  10.                                                                                                   
  11. Mailing Address
  12.                                                                                                   
  13.                                                                                                   
  14.                                                                                                   
  15. Country                                                                                      
  16.  
  17. Registration Fees
  18.  
  19.     Registration fee for one copy:
  20.         US/Canada/Europe and Advanced country        US$7
  21.         Japan                                                     700 Yen
  22.   Other country
  23.            If your are poor, you can pay just the same as 2-lunch's price in your country. 
  24.     
  25. Mailing fee for replay:
  26.         US/Canada              US$3
  27.         Japan                        100 Yen
  28.         Other Country      US$4
  29.  
  30. Payment (Please check)
  31. a. International Postal Money Order in US$/Yen.
  32. b. Check in US$/Yen drawn on a Japanese Bank.
  33.  
  34.  
  35.            Copy(ies) ........Total                   (US$ . Yen)
  36.  
  37. Signature
  38. I accept the licence agreement written in the document.
  39.  
  40.  
  41.  
  42.                                                                                                   
  43.  
  44. Mail to
  45.         Tatsuro Kosaka
  46.         Copo Fuji 105, Noborito, Tama-ku
  47.         Kawasaki-shi
  48.         Japan 214
  49.     E-mail: tad@cup.com
  50.     FAX:03-3469-9651
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