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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.
