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Text File  |  1993-07-01  |  1KB  |  52 lines

  1.  
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  4.                              REGISTRATION
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  7.         Enclosed is $________ for registration fees.
  8.  
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  10.         NAME:_______________________________________________
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  12.         ADDRESS:____________________________________________
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  14.         CITY:_______________________________________________
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  16.         STATE:______     ZIP CODE:___________________
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  18.         
  19.         I am registering the following programs:
  20.  
  21.         ____European 4 Languages           $15.00
  22.  
  23.         ____European 9 Languages           $15.00        
  24.  
  25.         ____Russian                        $12.00     
  26.  
  27.     ____English for Spanish Speakers   $12.00
  28.  
  29.         ____Amazing                        $12.00    
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  31.         Wishes, desires, demands and comments:______________
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  33.         ____________________________________________________
  34.        
  35.         ____________________________________________________
  36.  
  37.         ____________________________________________________
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  40.         Send the money to: 
  41.  
  42.                     Arthur Wells, Jr.
  43.                     1171 Cragmont Ave.
  44.                     Berkeley, CA 94708
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