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  5.                         Personal Observing Log Order Form
  6.                         =================================
  7.                              SHAREWARE VERSION 2.01
  8.  
  9.  
  10.             Name: ___________________________________________
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  13.          Address: ___________________________________________
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  15.  
  16.                   ___________________________________________
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  19.             City: _________________________  ST: _____  ZIP: __________
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  22.             Please check the appropriate box:
  23.              ___
  24.             |   |
  25.             |___| Individual License - $20.00
  26.  
  27.              ___
  28.             |   |
  29.             |___| Club License - $50.00
  30.  
  31.                   Club Name (for Club License):
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  33.                   _____________________________________________________
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  36.          Mail a check or money order to
  37.  
  38.               Ohio Star Software
  39.               8919 Deep Forest Ln.
  40.               Centerville, OH 45458
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  43. Your support of the Personal Observing Log is very much appreciated!
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