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Text File  |  1991-07-17  |  698b  |  43 lines
  1. Paid Registration/Donation Form
  2.  
  3.  
  4.  
  5. Product:  SmartDir
  6.  
  7.  
  8.  
  9. Transaction:                Purachase                Donation
  10. (please circle one)         (min. $10)               (any amount accepted)
  11.  
  12.  
  13.  
  14. Amount enclosed:  ____________________________________
  15.  
  16.  
  17.  
  18. Disk Size:           5.25             3.5
  19.  
  20.  
  21.  
  22. Name     __________________________________________________
  23.  
  24.  
  25. Address  __________________________________________________
  26.  
  27.  
  28.          __________________________________________________
  29.  
  30.  
  31.          __________________________________________________
  32.  
  33.  
  34. Phone    (_____) _____ - _____
  35.  
  36.  
  37.  
  38. Please mail to:
  39.  
  40. Owen Emry
  41. 302 North Jefferson Street
  42. Arlington, Virginia
  43.