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Text File  |  1991-10-14  |  1KB  |  29 lines
  1. Mail To:            International TeleCommunications
  2.                     555 North Spring, #39
  3.                     Cape Girardeau Mo. 63701
  4.  
  5.  
  6. Registered Tmodem mailed to you on Disk ...  $25.00 [ ]
  7. Download Registered Tmodem ................  $15.00 [ ]
  8.  
  9. Register To : _______________________________________________________
  10.  
  11. Payment by:  Check (U.S. bank or branch)             [ ]
  12.              Cash                                    [ ]
  13.  
  14. Download Password [        ] (Used for Downloading Registered Tmodem)
  15.  
  16.  
  17. Name     ___________________________________________________________________
  18.  
  19. Mailing Address    _________________________________________________________
  20.  
  21.                    _________________________________________________________
  22.  
  23.                    _________________________________________________________
  24.  
  25.                    _________________________________________________________
  26.  
  27.                    _________________________________________________________
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