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/ Software Vault: The Diamond Collection / The Diamond Collection (Software Vault)(Digital Impact).ISO / cdr37 / entcom1a.zip / REGISTER < prev    next >
Text File  |  1995-03-14  |  941b  |  35 lines
  1.  
  2.  
  3.         Registration form for ENTCOM1A.PPE v1.0a
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  5.         
  6.         Name:   _________________________________________
  7.         
  8.         Street: _________________________________________
  9.  
  10.         City:   _________________________________________
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  12.         State:  __________________ Postal Code __________
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  14.         Country:_________________________
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  16.         Phone Number: ___________________________________
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  18.         BBS Name:     ___________________________________
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  20.         BBS Number:   ___________________________________
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  22.         Comments:     ___________________________________
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  24.                       ___________________________________  
  25.                       
  26.                       ___________________________________
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  28.         
  29.         Would you like to receive Software Kitchen Newsletter?
  30.                 [  ] Yes   [  ] No
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  32.  
  33.         Signature _____________________ Date ____________    
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