                               H E X E D I T / 2
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                               REGISTRATION FORM                           

Please send your $20 registration fee (U.S. currency, please!) to the
following address.  If you want to fill out and send this form too,
please do so; we would like to find out who you are and what you think
of the product.

            B::Ware
            75 Greenlodge Street
            Dedham, MA  02026
            USA

Your Name and Addresses:

   First Name ___________________ M.I. ____ Last Name ________________________

   Address  __________________________________________________________________

            __________________________________________________________________

            __________________________________________________________________

            __________________________________________________________________

   Country  ________________________

  Telephone ________________________     Fax _________________________________

  Electronic Address(es) _____________________________________________________

                         _____________________________________________________

Registration Information:

   Name to register HexEdit/2 to _____________________________________________

   How to send registration:  [] Postal  [] E-Mail ___________________________

Where did you get your copy of HexEdit/2?

   [] - CompuServe                  [] - BBS ________________________

   [] - friend/colleague            [] - other ______________________


What version of HexEdit/2 do you have? _________
(select Help/About for the version number)

Additional Comments:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

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