 Forever Young Software      (C)opyright 1984-2002      All rights reserved
Registering: ---->  CD Player  v2.25e  (if different, please specify below)

**All information is optional and will not be given or sold to anyone else**

  Last Name: ______________________________   (Circle one)   Male  Female
 First Name: ____________________  M.I. ___      Age:  -18    19-45    46+
  Address 1: ______________________________
  Address 2: ______________________________   1st Language spoken:
      State: ______________________________      __________________________
Zip or code: ______________________________
    Country: ______________________________   2st Language spoken:
      Phone: ______________________________      __________________________

Education:
  Last grade completed:  8 9 10 11 12  GED  Bach1  Bach2  Masters  other
  Studied: ________________________________________________________________
  Degree:  no   yes --> ___________________________________________________

Programming Skills:
   Favorite Platform:  DOS  Windoze95/3.1x  UNIX  OS/2  Other:_____________
  Most used Platform:  DOS  Windoze95/3.1x  UNIX  OS/2  Other:_____________
   Favorite language/assembler: _____________________________ ver: ________
  Most used language/assembler: _____________________________ ver: ________

Can you program in:    Fluent    Good    Fair    Not at All  (check one)
  Assembly             ____      ____    ____       ____
  Basic                ____      ____    ____       ____
  C/C++                ____      ____    ____       ____
  CoBOL                ____      ____    ____       ____
  Delphi               ____      ____    ____       ____
  ForTran              ____      ____    ____       ____
  Java                 ____      ____    ____       ____
  Pascal               ____      ____    ____       ____
  Perl                 ____      ____    ____       ____
  Visual C++           ____      ____    ____       ____
  Visual Basic         ____      ____    ____       ____
  Other: ____________  ____      ____    ____       ____

Comments:_________________________________________________________________
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 Forever Young Software   fys@cybertrails.com   www.cybertrails.com/~fys
