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Text File  |  1992-12-24  |  1KB  |  48 lines
  1.                 -= DST version 1.0 Registration Form =-
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  3.  
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  5. Name:__________________________________________________________________
  6.  
  7. Address:_______________________________________________________________
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  9. City/Town:_______________________ State/Province:______________________
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  11. Zip/Postal Code:__________________       Country:______________________
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  13. Phone Number   : (_____) _________          Date:______________________
  14.  
  15.  
  16. Name of BBS or where DST was obtained from:
  17.  
  18. ____________________________________________________________________________
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  23. Comments/Suggestions:______________________________________________________
  24.  
  25. ____________________________________________________________________________
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  27. ____________________________________________________________________________
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  29.  
  30. U.S. residents send $3.00 in U.S. currency.
  31.  
  32. Canadian residents send $3.00 in Canadian funds.
  33.  
  34. International  (outside of US & Canada) send $4.00 in U.S. funds.
  35.  
  36.  
  37. Amount enclosed:________________________
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  39.  
  40.  
  41. Make check or money order payable to:  Bits, Bytes & PC's  and mail to:
  42.  
  43.   Bits, Bytes & PC's
  44.   c/o Joseph J Kowalczyk
  45.   11712 Gila dr.
  46.   Kuna Id, 83634-2640
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