Nohiss 1.2 Registration Form


    Name: ________________________________________________________________

   Email: __________________________   Phone: ____________________________

 Address: ________________________________________________________________

    City: __________________________   State: _______    Zip: ____________

  Amount: $____________________________________     Date: ________________
            (staple check to bottom of page)



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                                  [ tape ]

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                                                                | place |
                                                                | stamp |
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                         Andy Hakim
                         Nohiss Development
                         816 Pecore Street
                         Houston, TX 77009-6034






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  Please complete the following information:

  NOHISS Version: ______________  Obtained from: ________________________

  Sound Card: ___________________________________________________________

  What do you use Nohiss for? ___________________________________________

  _______________________________________________________________________

  _______________________________________________________________________

  _______________________________________________________________________
  Use back side of this form if you need more space.