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Text File  |  1994-02-01  |  616b  |  24 lines
  1.         Sysop Distributor Form for Pkpress 
  2.     
  3.     
  4.     Name: ______________________________________________________
  5.  
  6.     BBS: _______________________________________________________
  7.  
  8.     Address: ___________________________________________________
  9.                          
  10.     City,State,Zip: ____________________________________________
  11.  
  12.     BBS Phone: _________________________________________________
  13.  
  14.     Home Phone: ________________________________________________
  15.  
  16.  
  17.  
  18.     Mail this completed form along with each registration and check to:
  19.  
  20.     Michael W. Graham
  21.     PO Box 1846
  22.     Midlothian, VA 23113
  23.  
  24.