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Text File  |  1993-01-18  |  755b  |  39 lines
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  5.                               REGISTERATION FORM                 VIP-41
  6.                             Send $10.  US currency
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  9.        Your name _______________________________________________________
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  11.        Address   _______________________________________________________
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  13.        City, State, Zip   ______________________________________________
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  15.        Phone number   ____  _____________________
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  17.        Where did you obtain VIP ? ______________________________________
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  19.           Mail to:
  20.                     AL RICHARDS
  21.                     5201 ASH
  22.                     SHAWNEE MISSION, KANSAS  USA.
  23.                     66205-2114
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  26.                 Please add any comments below  ( good or bad )
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