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              REGISTRATION ORDER FORM FOR LEARN USA GEOGRAPHY v1.0

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Name____________________________________________________________________________

Address ________________________________________________________________________

City _______________________ State/Province ________________ Zip Code __________

Country ____________________

Where did you get this Shareware program? ______________________________________

Comments about this program ____________________________________________________

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__________ No. of copies of LEARN USA GEOGRAPHY   X $8.00 = ____________________

Disk size (please circle one)     5.25"    3.5"

Texas residents - please add 8.25% sales tax.             = ____________________

Foreign Orders - Add $4.00 Shipping & Handling            = ____________________

Total amount enclosed                                     = $___________________

Please send check, money order, or cash (U.S. dollars) to : 
                              
                              Daniel Gonzalez
                              5423 Bakersfield
                         San Antonio, TX 78228-6514

Make check payable to : Daniel Gonzalez

Allow one week for delivery.  Thank you for purchasing LEARN USA GEOGRAPHY v1.0.