
        SoftPerfect                       Romanian Antivirus v5
        2869 West 82nd So                 REGISTRATION FORM
        West Jordan, UT 84088
        USA                          09/01/97

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        REGISTRATION FEES:   US $29.00 inside US or Canada
                             US $32.00 foreign
        Please, US dollars drawn on US Bank checks or Money Orders;
        for not US residents, International Money Orders are required.
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        ____Enclosed is US$29.00 for RAV5, I am a US or Canadian User.

        ____Enclosed is US$32.00 for RAV5, I am a Foreign User.


        Name:____________________________________________________________

        Address:_________________________________________________________

        ________________________________________ City:___________________

        State:________________________________ Zip/Code:_________________

        Please answer the following questions and send this form with
        check or money order to the address indicated.
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        >> Diskette format you prefer (check one):  _____3 1/2"
                                                    _____5 1/4"
        (if not specified 3 1/2" will be used)

        >> From whom did you receive your RAV5 program? (check one)

        __Friend  __BBS  __Mail Order __Other: _________________________
        __Internet: ____________________ (please fill in server name)


        If received from BBS, Mail, or Other, can you specify:

        Organization Name:_____________________________________________

        City/State/Zip:________________________________________________

        Date received:_______/_______/_______

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        Thank you for your payment.
