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ORDER.FRM
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1993-08-22
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In order to provide better support, service and programs please
fill out the following:
Rolodex/2 ORDER FORM
Name ___________________________________________________________
Address ___________________________________________________________
City __________________________ State _________ ZIP ____________
Country (if outside US) ___________________________________________
Phone Number (optional) __________________ Circle: Home or Work
Email Address (optional) __________________________________________
Circle Type of Email Address: Internet, Compuserve, Genie, Other
Version of Program You Are Registering (optional) _________________
Place Where You Found Program (optional) __________________________
Rolodex/2 for OS/2 2.x Registration Fee ($20.00 US) ______
Total Enclosed ______
(Payment must be in U.S. funds)
(Checks & Money Orders prefered)
Mail to: Dennis Frost
107 Davis Rd
Centerville, OH
45459
Internet Address: dfrost@wvuvphs1.hsc.wvu.edu
dfrost@wvnvm.wvnet.edu
dlfrost@miavx1.acs.muohio.edu
*** Thank you for your support! ***