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Text File  |  1987-05-15  |  1KB  |  61 lines
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  4.                        Repstad Computer Consultants
  5.                            RFD #1, Box 3720
  6.                           Sheldon, VT  05483
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  9.                         User Registration Form
  10.                         ----------------------
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  15. Name...:_____________________________________
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  17. Address:_____________________________________
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  19. City...:_____________________________________
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  21. State..:________    Zip:__________
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  23. Phone..:__________________________
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  26. Where did you purchase/obtain PC-Gammon:
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  29. Name...:______________________________________
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  31. Address:______________________________________
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  33. City...:______________________________________
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  35. State..:________    Zip:__________
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  38. Date Purchased:________________
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  40. Computer......:_______________________________
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  43. Comments/Suggestions:
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  46. ______________________________________________________________________
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  48. ______________________________________________________________________
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  50. ______________________________________________________________________
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  52. ______________________________________________________________________
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  55. Please make your check for $10.00 payable to:
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  57.     Repstad Computer Consultants
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  60.                              Thank You
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