+---------------------------+

                   | KM_TERM REGISTRATION FORM |

                   +---------------------------+

To:-



Kevin Millican

20 St Johns Road

   Belton

   GREAT YARMOUTH

   Norfolk

   NR31 9NS







From:-



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Tick as appropriate:



+--+

|  | Please register my copy of KM_Term v___ at level 1. I enclose a

+--+ cheque for 5 pounds/______ Sterling.





+--+

|  | Please register my copy of KM_Term at level 2 and send me

+--+ printed documentation and a disk containing the latest version 
     and source code. I enclose a cheque for ten pounds Sterling.



+--+

|  | I claim the SYSOP's 5 pound discount and enclose a reduced

+--+ amount accordingly; evidence is attached.





The following information is not mandatory but it will help me to 
offer you support :-





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