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1991-11-15
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43 lines
LWAC REGISTRATION
.........................................
J.C.S. Software
Post Office Box 4039
Berea Kenyucky 40403
606-986-3281 (voice) 606-986-3084 (data)
Date / /
Name ___________________________________
Company ________________________________
Address ________________________________
City ________________________ State ________________ Zip ____________
Phone ( )- - ext.
---------------------------------------------------------------------------
Comments: ___________________________________________________________
___________________________________________________________
___________________________________________________________
---------------------------------------------------------------------------
Registration for this program is $5.00 (U.S. funds only)
Please mail you this form along with your check or money order (no cash)
to:
Craig Still
Post Office Box 4039
Berea, Kentucky 40403