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Text File  |  1991-06-29  |  657 b   |  21 lines
  1.                     Ymodem Registration form
  2.  
  3. Remit To:           Mike Bryeans
  4.                     555 North Spring, #39
  5.                     Cape Girardeau Mo. 63701
  6.  
  7. Ymodem Batch/ Ymodem-G..............................  $ 15.00 [ ]
  8.  
  9. Payment by:  Check (U.S. bank or branch) enclosed [ ]
  10.  
  11. Use Address on check [ ]  envelope [ ]   or:
  12.  
  13. Name     ___________________________________________________________________
  14.  
  15. Address  _________________________________________________________
  16.  
  17.          ___________________________________________________________________
  18.  
  19.          ___________________________________________________________________
  20.  
  21.