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Text File  |  1991-11-30  |  1.0 KB  |  53 lines
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  7.             AC -The Archive Converter-
  8.                Donald M. Langhorne
  9.             South 5241 Columbia Avenue      
  10.                 Hamburg, NY 14075
  11.     
  12.                 Registration Form
  13.                 -----------------   
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  16.     Name:________________________________________________
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  20.     Company:_____________________________________________
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  24.     Address:_____________________________________________
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  28.     Address:_____________________________________________
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  32.     City:__________________________  State:____  Zip:__________-______
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  36.     Current Version # I have is:_____________________        
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  40.         Quantity        Price/Per       Total Quantity     Total Price
  41.         --------------------------------------------------------------
  42.        
  43.            1-10             $10            _________  x10   __________
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  46.            11-50            $8             _________  x8    __________
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  49.            51-100           $6             _________  x6    __________
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  52.            100+             $4             _________  x4    __________
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