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Text File  |  1993-03-04  |  1KB  |  31 lines
  1.             Hazordous Materials Helper
  2.             --------- --------- ------
  3.  
  4.       Name:________________________________        Donation if any?
  5.    Address:________________________________
  6. City/State:________________________________        $______________
  7.    Phone #:________________________________
  8.  
  9.  
  10. Reason for using the helper program?
  11.  
  12. _________________________________________________________________________
  13.  
  14. _________________________________________________________________________
  15.  
  16. _________________________________________________________________________
  17.  
  18. Comments or Suggestions? (or BUGS)
  19.  
  20. _________________________________________________________________________
  21.  
  22. _________________________________________________________________________
  23.  
  24. _________________________________________________________________________
  25.  
  26. _________________________________________________________________________
  27.  
  28.  
  29. If I get a good response to the programs I will start a list of all
  30. supporters... Would you like me to add your name? Yes____  No____  ?
  31.