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                             W e b W r i t e r / 2
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                                  Version 1.1

                               REGISTRATION FORM                           

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Please fill out this form and send your check or money order (drawn on a U.S.
bank) for $30.00 to:


            John Blumel
            1949 Green Oak Drive
            Terrytown, LA  70056
            USA

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   First Name: ___________________  MI: ____ Last Name: ________________________

      Address: _________________________________________________________________

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      Country: ___________________

    Telephone: ___________________  Home [ ]  Work [ ]
      
               ___________________  Home [ ]  Work [ ]

Email Address: _________________________________________


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