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Text File  |  1995-05-07  |  1KB  |  39 lines
  1. Floppy Librarian/2 Registration Form.
  2.  
  3. Registration is $25 per person.   All checks and money orders must be drawn on
  4. a US bank.
  5.  
  6. Name: ___________________________________
  7.  
  8. Address 1: ______________________________
  9.  
  10. Address 2: ______________________________
  11.  
  12. City: ___________________________________
  13.  
  14. State/Province: _________________________
  15.  
  16. Zip/Postal Code: ________________________
  17.  
  18. Country: ________________________________
  19.  
  20.  
  21. Comments:
  22.  
  23. ______________________________________________________________________________
  24.  
  25. ______________________________________________________________________________
  26.  
  27. ______________________________________________________________________________
  28.  
  29. ______________________________________________________________________________
  30.  
  31. ______________________________________________________________________________
  32.  
  33.  
  34. Please mail this form and your payment to:
  35.  
  36.            Daniel Davis
  37.            P.O. Box 1072
  38.            Middleburg, FL 32050-1072
  39.