
  VUDU Quick Registration Form				BINARY SYSTEMS
  ____________________________				PO BOX 10714
							FARGO ND 58106  USA
  Disk type desired:  ___ 5.25"   ___ 3.5"
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  ___ Copy(s) VUDU for PDS7+         ___ Copy(s) VUDU for QB4+ --  x $25.00

              Additional MASM source code (Add $5.00 one time) -- _________

  ___ Express Delivery   ___* Electronic Transfer (Add $10.00) -- _________

  Orders outside the US add $5.00  (Sent as an Airmail Letter) -- _________
                                                               ____________

                                         Total Amount Enclosed -- _________


     YOUR COMPLETE SHIPPING ADDRESS:

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     Make check or money order payable to Binary Systems. Thank You!


     * To arrange an electronic transfer call (701)281-2732 or give your
     phone number and name here to have Binary Systems contact you as
     soon as we receive your registration:

     PHONE:(______)_____-_________

     NAME: _______________________________
