
                 ELECTRC8, Copyright 1991, By Robert J. La Capra

                        ==  REGISTRATION FORM  ==
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       SHIP TO:

       Name: _______________________________________________________
       
       Company: ____________________________________________________
 
       Address: ____________________________________________________
       
       City,State,Zip:______________________________________________
       
       
       Fee Enclosed: $__________
       
       Where did you obtain ELECTRC8 ?:
       
       _____________________________________________________________
       
       Suggestions & Comments, if you wish:
       _____________________________________________________________ 
       _____________________________________________________________
       _____________________________________________________________ 
       _____________________________________________________________ 
       _____________________________________________________________ 
       _____________________________________________________________ 
       _____________________________________________________________ 

       
       ==================================================================
       Registration fee for ELECTRC8 is $45.00 for each user.
       
       Purchase orders without payment attached cannot be accepted.

       Send this form and registration fee to:
                                            Robert J. La Capra
                                            50 Hillside Terrace 
                                            Andover, NJ 07821

       Once again, thanks for using and supporting ELECTRC8. As always, 
       any questions, comments and suggestion are welcome. 
       ==================================================================
       

