                       RIPGRAF Registration 0.51
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Please provide the following information,  and include a Money order or
cheque for $20 (US Funds) or $20 (CAN Funds for Canadian residents) plus
$3 (US/CAN) for shipping and handling and send it to:

                             Michael Nelson
                             76 Olympus Ct #59
                             Sarnia, Ontario
                             CANADA  N7S 4S7

I can only accept personal cheques in US dollars drawn on US banks, OR
in Canadian dollars drawn on Canadian banks. Money orders are preferred
and will result in faster processing.

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Name   : ______________________________________________________________

Street : _______________________________________  Apt    : ____________

City   : ________________________________ State/Prov: _________________

Country: ________________________________ Zip/Postal: _________________

Email  : ______________________________________________________________

BBS Name: _____________________________  BBS number: (___)___-____

Would you use a RIPGRAF "support" BBS to download updates? Y / N

Comment: (Write on back of form if needed)

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Date   : _________________________ Signature:__________________________


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   Please allow 2-4 weeks for delivery. Thank you for your support!
