

        Registration form for UZPower 1.20 from UZful Software
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        Send to:
                UZful Software, Inc.
                PO Box 2089
                Merrimack, NH 03054-2089, USA

        Individual Registered Version          Qty ____ @ $5.00   $___________


        1 floppy disk with latest version (OPTIONAL)      $5.00   $___________
        (  ) 5.25" or (  ) 3.5"

        Note: All payments must be in U.S. funds,         Total   $___________
        drawn on a U.S. bank.

        Payment method: (  ) Check/money order  (  ) PO # ____________________


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        Name      Last                          First

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        Title                                   Company Name

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        Street Address                          City

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        State/Province/Region                   ZIP/Postal code

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        Country              E-mail address (Internet, GEnie, CompuServe, ...)

        Where did you get your copy of the program? __________________________


        What brand(s) and model(s) of laptop(s) do you use? __________________

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        | Please include the output of "uzlicinf" for the computer(s) on which |
        | you want to run this product. We cannot take your order without it.  |
        +----------------------------------------------------------------------+

        UZLICINF OUTPUT (8 capital letters): _____________

        Please give us any feedback (comments, problems, wishes) below.
        Thank you for your support.


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