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Text File  |  1994-01-17  |  904b  |  32 lines
  1.  
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  4.                       SLCB v1.1 Registration Order Form
  5.  
  6.      Qty       Item                                     US      Price
  7.  
  8.      ___  Registration and Disk (within U.S.)....... @ $15 ea $________
  9.  
  10.           Ohio residents add State Sales Tax ...........      $________
  11.  
  12.                                                      Subtotal $________
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  14.                                                         TOTAL $________
  15.  
  16.      Remit To:          Tom Huff
  17.                         17515 Libby Rd.
  18.                         Maple Heights, Ohio, 44137 USA
  19.  
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  21.      Desired Media Size (check one) 
  22.  
  23.       5.25" (360k) ____    3.5" (720k) ____   3.5" (1.4m) ____
  24.  
  25.      Your BBS Name ____________________________________________________
  26.  
  27.      Your BBS Number (optional) _______________________________________
  28.  
  29.      Comments/Suggestions _____________________________________________
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