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                        R E G I S T R A T I O N   F O R M
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         Complete this form and send with check or money order
         in the amount of $15 (US dollars only) for single user version,
         $35 for full network support version.
         payable to         Ron Ghetti
                            KELJEN Solutions
                            26 Brookshire Rd.
                            Hyannis MA 02601
                            (508)-775-1320

                      Thank you for your support;
         Your registration makes quality Shareware possible.
         with your paid registration, you will receive the latest
         edition of PowerMenu! including more features and enhancements.
         Powermenu! can be customized to fit your needs, call for further
         information.

           Name: ____________________________________________________

           Company: _________________________________________________

           Address: _________________________________________________

           City: ____________________  State: _______  Zip: _________

           Area Code: _________  Phone: _____________________________


           Do You Use a Modem? ________

           Computer Type: ___________________________________________

           Disk Size Preferred:   [___] 5.25 inch     [____] 3.5 inch

           Comments, Suggestions etc. :
           ___________________________________________________________

           ___________________________________________________________

           ___________________________________________________________

         You can contact me for registration or support:
                         Ron Ghetti
                       KELJEN Solutions Inc.
                        (508)-775-1320