--------------- Registration Form for File Download Counter (tm) -------------
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|     Your registration includes the following:                              |
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|     * Most recent version of FDC.                                          |
|     * Free Lifetime Updates                                                |
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|     Name:  _________________________________________________________       |
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|     Bulletin Board Name:____________________________________________       |
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|     Bulletin Board Phone Number: (____)______-______________________       |
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|     Address: _______________________________________________________       |
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|            : _______________________________________________________       |
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|     Voice Day Phone: _________________  Evening: ___________________       |
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|     Login Password: __________________  InterNet: __________________       |
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|     Improvements/Comments/Suggestions:                                     |
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|     ________________________________________________________________       |
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|     ________________________________________________________________       |
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|     ________________________________________________________________       |
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|     FOR OFFICE USE ONLY:  Recieved __/__/__  S/N: __________________       |
|     95.06.13-5.00                                                          |
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   Please PRINT THIS INFORMATION CLEARLY.  The phone numbers are so, in
   case of difficulty with your order, we can contact you.  Failure to
   fill out this order form properly may delay delivery of your registered
   version.

   I will call your BBS and upload the registered KEY the day I recieve
   your registration.  Please make a user account on your BBS with the name
   "BRANDON BACHMAN" and the login password specified on the registration
   form.  Failure to do so may delay delivery of your registered version.

   Please enclose a check or money order, PAYABLE TO "BRANDON BACHMAN",
   for $20.  If your check or money order is not payable to Brandon
   Bachman I will not be able to process your order.  If you have any
   questions please contact brandon.bachman@m.cc.utah.edu

   Remit this form to:   Brandon M. Bachman
                         270 E. 5th Ave. #7
                         Salt Lake City, Utah 84103