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Text File  |  1988-02-14  |  675b  |  40 lines
  1.  
  2.  
  3.                   DISKCAT LABEL ORDER FORM
  4.  
  5.  
  6.  
  7.  
  8.          Name:__________________________________________________
  9.  
  10.          Address:_______________________________________________
  11.  
  12.              _______________________________________________
  13.  
  14.             City:_______________________________________________
  15.  
  16.            State:_______  Zip: ______________
  17.  
  18.  
  19.          Registration Number: _____________________________
  20.  
  21.  
  22.  
  23.          Labels are available in lots of 100 to registered users
  24.          only.  This includes postage.
  25.  
  26.  
  27.                            Quantity:  ________
  28.  
  29.                                   x $5.00
  30.  
  31.                          Total Enclosed:____________
  32.  
  33.  
  34.  
  35.          Mail To:  J. M. Nerwinski
  36.                112 Leon Street
  37.                Durham, NC 27704
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