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Text File  |  1993-06-07  |  1KB  |  40 lines
  1.  
  2.  
  3.  
  4.                             Registration for PC BABY
  5.         
  6.         NAME:     _____________________________________
  7.         
  8.         ADDRESS:  _____________________________________
  9.         
  10.         CITY      _____________________________________
  11.         
  12.         STATE     ___________    ZIP  _________ - __________
  13.         
  14.         COMMENTS:
  15.         
  16.                   ______________________________________
  17.         
  18.                   ______________________________________
  19.         
  20.                   ______________________________________
  21.         
  22.         
  23.                                          Number of Copies:  __________
  24.         
  25.                                          @ $15.00           __________
  26.         
  27.                                          Shipping/Handling    0.75
  28.         
  29.                                          Total               __________
  30.         
  31.         Enclose  Check or Money order for the total amount above  payable 
  32.         to:
  33.         
  34.              Jeffrey M. Campbell
  35.              1614 Delevan Ave
  36.              Lansing, MI  48910
  37.  
  38.  
  39.  
  40.