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REVEILLE / REVEILLE TIMER REGISTRATION FORM

Name of Registered User (if Individual License):

_________________________________________________________________

Name of Registered Institution  (if Site License):

_________________________________________________________________

Name and Mailing Address:

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

City ______________________________ State ________  ZIP _________

Diskette Size Desired :  3-1/2"_____   5-1/4"_____

Amount Enclosed (please circle the proper amount) :

$17.95 - Separate Reveille Individual License ($12.95 + $5)

$14.95 - Separate Reveille Timer Individual License ($9.95 + $5)

$24.95 - Combined Individual License (for both) ($19.95 + $5)

$54.95 - Separate Reveille Site License ($49.95 + $5)

$34.95 - Separate Reveille Timer Site License ($29.95 + $5)

$64.95 - Combined Site License (for both) ($59.95 + $5)

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