H E X E D I T / 2
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                               REGISTRATION FORM                           

Please send your $15 registration fee (U.S. currency, please!) to the
following address.  If you want to fill out and send this form too,
please do so; we would like to find out who you are and what you think
of the product.

            B::Ware
            7 Rosen Road
            Dedham, MA  02026
            USA

Your Name and Address:

   First Name ___________________ M.I. ____ Last Name ________________________

   Address  __________________________________________________________________

            __________________________________________________________________

            __________________________________________________________________

            __________________________________________________________________

   Country  ___________________

  Telephone ___________________

Electronic Addresses:

   CompuServe: _________________________________________

   Internet: ___________________________________________

   Other (specify): ____________________________________

Where did you get HexEdit/2?

   [] - CompuServe                  [] - BBS ________________________

   [] - friend/colleague            [] - other ______________________


What version of HexEdit/2 do you have? _________
(select Help/About for the version number)

Additional Comments:

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