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Portable Network Graphic  |  1994-07-06  |  7.9 KB  |  632x394  |  8-bit (31 colors)
   ocr: CIM - Signup First Name: M.I.: *Company Name: Last Name: Address: Evening Phone No: City: *Daytime Phone No: State: Zip: *S.S. Number: Membership Options Compuserve Magazine BILLING INFURMATIUN Member Directory Promotional Mail External Mailings Credit Card Number: Expiration Date (9/99): 0/0 Praceed Cancel * = Optional