PPoint REGISTRATION Form

TO:   Harvey Parisien
      Box 323 Station A,
      Kingston, Ontario, Canada K7M 6R2

      613-389-3992 Data line   FIDONET 1:249/114

Please find enclosed my registration fee of...

   [ ] $15.00us NON COMMERCIAL USE...   [ ] $85.00us COMMERCIAL USE...

...per installation by [ ] check, [ ] money order in US funds.

        Date: _____/_____/_____ (mm/dd/yy)        (Ontario orders add PST)

Organization: ____________________________________________ (if applicable)

  Users Name: ____________________________________________

Mail Address: ____________________________________________

 City, State: __________________________________(________)

 Voice Phone: ____________________________________________

Data Phone/Address:   ____________________________________

CURRENT PPOINT VERSION:    _______________________________



COMMENTS: ___________________________________________________________________

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      Yours truly;




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