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Text File  |  1985-05-06  |  5.3 KB  |  2 lines
  1. APP   FRM                                     newform:=false;
  2.                                                  exitselection:=--------------------------------------------------------------------------------|------------------------------| DATABASE ENTRY |------------------------------||------------------------------------------------------------------------------||                                                                              ||  SORT CODE:                                               DATE:              ||            ---------------------------------------------       ------------  ||                                                                              ||            ----------------------------------------------------------------  ||                                                                              ||                                                                              ||  NAME:                                                    SSN:               ||       --------------------------------------------------      -------------  ||                                                                              ||  ADDRESS:                                                                    ||          ------------------------------------------------------------------  ||                                                                              ||  CITY/STATE/ZIP:                                                             ||                 -----------------------------------------------------------  ||                                                                              ||                                                                              ||  PHONE #'s HOME:                           OFFICE:                           ||                 ------------------------          -------------------------  ||                                                                              ||  OTHER:                                                                      ||        --------------------------------------------------------------------  ||                                                                              ||  OCCUPATIONS:                                                                ||              --------------------------------------------------------------  ||                                                                              ||  DATE OF BIRTH:                                                              ||                ------------------------------------------------------------  ||                                                                              ||  SPOUSE NAME/DATE OF BIRTH/OCCUPATION:                                       ||                                       -------------------------------------  ||                                                                              ||  --------------------------------------------------------------------------  ||                                                                              ||  CHILDREN:                                                                   ||           -----------------------------------------------------------------  ||                                                                              ||  COMPANY NAME:                                                               ||               -------------------------------------------------------------  ||                                                                              ||  --------------------------------------------------------------------------  ||                                                                              ||  OTHER BUSINESS:                                                             ||                 -----------------------------------------------------------  ||                                                                              ||  --------------------------------------------------------------------------  ||                                                                              ||  MET/RELATIONSHIP/DEALS,ETC.                                                 ||                             -----------------------------------------------  ||                                                                              ||  --------------------------------------------------------------------------  ||                                                                              ||                                                                              ||  --------------------------------------------------------------------------  ||                                                                              ||  --------------------------------------------------------------------------  ||                                                                              ||  --------------------------------------------------------------------------  ||                                                                              ||  --------------------------------------------------------------------------  ||                                                                              |--------------------------------------------------------------------------------ëΘïσ]┬Uï∞UΘΦ2█Φ╓▐ 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