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             REGISTRATION FORM FOR:  Time Runner  v1.1

Please print this out and mail it with a money order (NO checks or cash) for
$6.50 ($5.00 for the program & $1.50 to cover shipping) to: 
          
                   
                   Tim Butler
                   5 Plymouth Ct.
                   Bordentown, NJ
                              08505       

Once your order is received, a registered version of Time Runner will be  
shipped out to you ASAP.  Updates will either be mailed to you free of 
charge, or you will be notified, and allowed to download them from 
The Data Connection BBS  (609) 291-0757.


Please fill out the following questionaire [Please Print]:

  First Name :____________________ Last Name:_____________________________

  Address    :___________________________ City:__________________ St:_____

  Country    :___________________________ Postal Code ____________________
  
  Home Phone#:___________________________

  PLEASE MARK:
           I would like a:  [ ] 3 1/2" disk      [ ] 5 1/4" disk

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