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  		         Canasta for Windows 1.2
                            Registration Form
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			      				 Date ______________

    Name ___________________________________________________________________

    [Company] ______________________________________________________________

    [Title] ________________________________________________________________

    Address ________________________________________________________________

    City __________________________  State/Country _________________________

    Zip ___________________________  [Phone] _______________________________

    [E-mail address] _______________________________________________________


    Registration at $20  		                              ______

    Add $10 if payment by check				              ______

    TOTAL AMOUNT 						      ______

    Diskette Size:  circle:    5 1/4"     3 1/2"