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                R-Type Software Registration Form

                

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First Name: _______________________________



Last Name: ________________________________



Email: ____________________________________



Address: ___________________________________________________________



City: _______________________  State: __________  Zip: _____________



Country: __________________________________







Software registering                     Price          Total

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Stock Slip                                 $15

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Stock Slip (Charles Schwab Edition)        $15

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If you would like the software on diskette

send to you, please add $5.

Please Specify Disk Type:   ___ Mac or ___ PC

_______________________________________________________________



                                                Total:







Please print and fill out this form completely.

Make check payable to R-Type Software.

Please mail the completed form and payment to:



R-Type Software

3778 Rockwell Ave.

El Monte, CA 91731

USA



A copy of the registered software will be emailed to you as soon as

this order form is received by R-Type Software.  If you are requesting

software on diskette, please allow 2-4 weeks for delivery.



You can find us on the internet at: www.r-type.com.

You can email us at: support@r-type.com.