                     QUICKLETTER REGISTRATION FORM



Name    _________________________  Company Name _________________________
Street  _________________________
City    ______________
State   __
Zip     _____                      Profession   ________________________

Date    __/__/__       # of Copies __

Please complete this form and send with check or Money Order for $10.00
to:
                Custom Computing Services
                c/o Timothy Gregory
                6002 Jerusalem Drive
                Clay, NY  13041

Please allow 3 weeks for delivery if personal check used;  1 week if
company check or Money Order sent.

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