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                FLU_SHOT+ (V1.5) Registration

Please fill out this form, then mail it along with a check for
$14 ($10 Registration, $4 Shipping/Handling/Processing) (or
more!) to:

                        Ross M. Greenberg
                        Software Concepts Design
                        594 Third Avenue
                        New York, New York 10016


Thanks for your support!

Name:_________________________________________________________

Title:________________________________________________________

Company:______________________________________________________

Address:______________________________________________________

        ______________________________________________________

City:   _____________________     State: _________  Zip:______

Telephone:__________________________________

Comments and Suggestions:____________________________________________________

         ____________________________________________________________________

         ____________________________________________________________________

         ____________________________________________________________________

         ____________________________________________________________________


Where did you get FLUSHOT+ (V1.5) from? (check one, fill in the blank):

        [__]  User Group  (which one:________________________________________)

        [__]  BBS  (Name:_______________________)(Tel #:_____________________)

        [__]  Other (Such as:________________________________________________)


Please send me more information on:

        [__]  RamNet, the background communications program

        [__]  The Programmer's Co_operative

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