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Text File  |  1995-02-13  |  1.2 KB  |  42 lines
  1.                    Fax-Back Service Addition Request
  2.  
  3.  
  4. Company Name: _____________________________________________________________
  5.  
  6. CITY, ST:     _____________________________________________________________
  7.  
  8. Fax-Back #:   _____________________________________________________________
  9.  
  10. Information Available: ____________________________________________________
  11.  
  12. Where did you get your copy of the SUPRT List: ____________________________
  13.  
  14.  
  15. System Flags:
  16.  
  17. [ ] X - System Does Not Return Calls, you will need to call from your fax
  18.  
  19.  
  20. ANY ADDITIONAL NOTES:
  21.  
  22. _________________________________________________________________________
  23.  
  24. _________________________________________________________________________
  25.  
  26. _________________________________________________________________________
  27.  
  28. _________________________________________________________________________
  29.  
  30. _________________________________________________________________________
  31.  
  32.  
  33. RETURN THIS FORM IN ONE OF THE FOLLOWING WAYS:
  34.  
  35. 1) Mail to Digicom BBS, 7624 Syls Drive, Evansville, IN 47712
  36. 2) Netmail to Gary Barr at 1:2310/200
  37. 3) Fax to 812-474-2264
  38. 4) CompuServe Email to 70007,4634
  39. 5) InterNet: gary.barr@digicom.com
  40. 6) Or call the Digicom BBS at 812-479-1310 (USR 14400 DS)
  41.  
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