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 ORDER FORM FOR DISK DUPLICATOR+                                        



Print this out with your printer, and then fill it out as specified. 
Please print clearly. Include your check and this form in the envelope. 
Send it to the address specified in the manual (QCOPY.DOC). Make sure you 
answer all the below questions. Your registration key will be sent to you 
in the mail, so make sure that you put down your real name and address. We 
can not be held responsible for lost registration keys.

                THE REGISTRATION FEE IS $10.00 US CURRENCY


NAME: ............................... ....................................
       FIRST                          LAST                       

PHONE: (.......) ....... - ............

STREET ADDRESS: ..........................................................

CITY: ................................... STATE: ...... ZIP CODE: ........

WHERE DID YOU RECIEVE YOUR COPY OF DISK DUPLICATOR PLUS FROM:

..........................................................................

COMMENTS/SUGGESTIONS: ....................................................

..........................................................................

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PAYMENT METHOD: [ ] Cash                   REGISTRATION COSTS $10.00
                [ ] Check                  US CURRENCY ONLY!
                [ ] Money Order
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