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                              REGISTRATION FORM
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                            VISTA Conversions 3.0

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COMPANY: ____________________________________________________________________

NAME: _______________________________________________________________________

ADDRESS: ____________________________________________________________________

CITY: _______________________________________  STATE: _______________________

ZIP: _____________

REGISTERED(Y/N): ___  REGISTRATION NUMBER: _______

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DISK SIZE:  5.25" 1.2M ___
            5.25" 360K ___
            3.5" 1.44M ___
            3.5"  720K ___

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REGISTRATION FEES:

    New users ............ $15.00

    Registered owners .... $10.00 (Registration # required)

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Send the completed form to:

GENESIS Consulting
543 Robin Hood Rd.
Havre de Grace, MD. 21078

NOTE: Please make checks payable to Roger N. Renfro.  U.S. Banks Only