           CD-ROM FILE DATE ANALYZER and CD-ROM DUPLICATE ANALYZER
                             Registration Form
                Please support shareware by registering it.
                
                        Remit To:     Robert Neal        
                                      317 Hickory
CDFDA10/CDDA10                        Romeoville, IL  60441
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                         ** PERSONAL USE ONLY **

____ CD-ROM FILE DATA ANALYZER                       $10.00      ______

____ CD-ROM FILE DUPLICATE ANALYZER                  $10.00      ______
        
____ CD-ROM FILE DATE ANALYZER and DUPLICATE
        ANALYZER, both for only                      $15.00      ______
       
____ Current version on disc                         $ 5.00      ______

        Disk size preference:  [ ] - 5.25" disk   [ ] - 3.5" disk

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                        ** COMMERCIAL USE ONLY **

____ CD-ROM FILE DATA ANALYZER                       $20.00      ______

____ CD-ROM FILE DUPLICATE ANALYZER                  $20.00      ______
        
____ CD-ROM FILE DATE ANALYZER and DUPLICATE
        ANALYZER, both for only                      $30.00      ______
        (or send a copy of one of your CD-ROM discs)

____ Current version on disc                         $ 5.00      ______

        Disk size preference:  [ ] - 5.25" disk   [ ] - 3.5" disk

                                                Total ->         ______

    ** Payment by Check (U.S. Bank or branch) or Money Order only **
                        Thank you for your support.             
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   Name: _________________________________
   
Address: _________________________________

         _________________________________

Phone #: (    )  ______ - ____________
         
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Fold at the page break below with the printing facing out.  Then fold
letter style, exposing the mailing address and hiding your information.
If necessary, staple check to the mailer, then staple or tape sides and top.

_________________________________                                     Place

_________________________________                                     Stamp

_________________________________                                     Here





                                         Robert Neal         
                                         317 Hickory         
                                         Romeoville, IL  60441    U.S.A.


CDFDA1.0/CDDA1.0

