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                         REGISTRATION FORM
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NAME:

ADDRESS:

CITY, STATE, ZIP:

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PROGRAM:  Financial Calculator Model CALC10RX Shareware Version 1.0

COPY OBTAINED FROM:

SUGGESTIONS FOR FUTURE PRODUCTS OR FEATURES TO BE INCLUDED IN VERSION 2.0:




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Instructions:  Please complete the above information and mail along with a
check in the amount of $29.95 payable to Austin C Durbin, to

		Austin C Durbin
		10740 Cushdon Ave
		Los Angeles, CA 90064

If you do not have a printer or are unable to print this form, please print
or type the above information on a plain sheet of paper.	