       WORDS ALIVE v2.0  REGISTRATION FORM ͻ
       							       
         YOUR NAME: ___________________________________________       
       							       
         ADDRESS:   ___________________________________________       
       							       
       	     ___________________________________________       
         DISK SIZE : [ ] 5+1/4" DD (360 K)  [ ] 5+1/4" HD (1.2 MEG)   
       	      [ ] 3+1/2" DD (720 K)  [ ] 3+1/2" HD (1.4 MEG)   
       							       
             REGISTRATION FEE (U.S. Dollars)		 $19.00        
       							       
             *LESS ALLOWANCE (UP TO $5.00)	     ___________       
       							       
       	      TOTAL AMOUNT ENCLOSED	     ___________       
       *If you had incurred a cost in obtaining a shareware version   
        of WORDS ALIVE,  you can deduct your cost of up to $5.00.     
        Please make check or money order drawn on U.S. bank	       
        payable to:	  LANA CHAKOFF				       
       		  P.O. BOX  2111			       
       		  LIVINGSTON, N.J. 07039-2111		       
       		      U.S.A.				       
       Press <Print Screen> to print  THANK YOU FOR YOUR SUPPORT ͼ
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