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            ** Steel Estimator, Ver 1.0, Registration Form  **
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(Please use block letters. see README.DOC for information on registering.)

===================== Contact information ====================================

  Name: _______________________________________

  Street Address: _______________________________________

  City: ______________________  Postal code: _________________
     
  Country: _____________________
     
  Voice phone: __________________________ (include area codes)
  Modem      : __________________________
  Fax        : __________________________


  payment by cheque of  US $ 150.00 enclosed  [_]  



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     My signature acknowledges that I fully understand the Shareware
     concept (described in README.DOC) and that this program is
     copyrighted material. I also agree not to distribute the Steel
     Estimator's registered version.


      User's
      Signature: __________________________________________

      Date:      ____________________________