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Text File  |  1996-04-20  |  1KB  |  39 lines
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  6. (Please print clearly. It is very important for me to be able to clearly read your email address!)
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  8. Name:                                                                                             
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  10. Address:                                                                                        
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  12. City:                                State:               Zip:                                 
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  14. Country:                                                                                        
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  17. Email Address:                                                                            
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  19. Other Email Address:                                                                 
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  21.  
  22. Quantity          Price  (each)        Total
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  24.                   X     $10.00        =  $               
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  27. For all NON-USA orders:  Please make sure to only pay with US Currency or a Money Order.
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  29. Questions/Comments?  Send email to:  inaka@cap.or.jp
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  31. Send Computer Cuisine Form & Payment to:
  32.  
  33. Mike McGee¬†
  34. Toyama-Ken, Nei-Gun
  35. Yatsuo-Machi, Ida 6742
  36. Ayumi So #306                                                           Click On The Box Above!
  37. Japan  939-23
  38.  
  39. (When this form is completed & mailed, you will be emailed the registration password. If you do not have an email account, the password can be sent by Overseas/US Mail.)