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Text File  |  1995-07-26  |  831b  |  26 lines

  1.                         Kali Registration Form 
  2.  
  3. Name (Please Print) ________________________________________________________
  4.  
  5. Address ____________________________________________________________________
  6.  
  7. City _________________________ State/Province ______________________________ 
  8.  
  9. Zip/Postal Code ___________________ Country  _______________________________ 
  10.  
  11. Phone/Fax __________________________________________________________________
  12.  
  13. Email Address ______________________________________________________________
  14.  
  15. The cost for registered Kali is $20 (US currency).
  16.  
  17. Make checks payable to "Jay Cotton"
  18.  
  19. Checks must be in US Dollars and drawn on a US bank.
  20.  
  21. Mail to:  Jay Cotton
  22.           PO Box 282
  23.           Franklin Springs, GA 30639-0282
  24.  
  25. *be sure to include an email address for a faster response
  26.