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Text File  |  1990-06-06  |  2KB  |  34 lines
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  10.                                                    date                                                                  ___________
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  12.                                                                                         ____________________________________________
  13.                                           name
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  15.                                                                                         ____________________________________________
  16.                                          address
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  18.                                                                                           _______________________  ___  ____________
  19.                                 city            state     zip
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  21.                                                                                         _____ ______________   ____  _______________
  22.                       areacode    phone          alternate phone
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  24.                      type of computer                                                                   ____________________________
  25.                      hard disk y/n?           capacity?                                                 _____             __________
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  27.                      where did you learn of DEX-i-cal?/comments
  28.                                                                                         ______________________________________________
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  30.                                                                                         ______________________________________________
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  32.                                                                                         ______________________________________________
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