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                           Turbo Pascal for DOS Tutorial
                      Copyright(c) 1996 by Glenn Grotzinger
                                Registration Form

    Name:________________________________________________  Age:_____

    Street:_________________________  City:_________________________

    State:_________________   ZIP: ___________  Country:_____________

    I am a:

     _____  private user.

     _____  business user.

    I wish to have _______ license(s).  If I am a business user, I am enclosing

    _______ dollars U.S. for these licenses.

    Send this form electronically, by all means, if you are a private user who
    does not want the word-processor version to Internet: ggrotz@2sprint.net.

    Otherwise, send this form via mail with appropriate U.S. funds to:

    Glenn Grotzinger
    314 W Culton
    Warrensburg, MO  64093

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