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  1.                                 
  2.                                 Donation Form
  3.  
  4.   Name:_______________________________________________________________
  5.  
  6.   Address:__________________________________________________Apt.______
  7.  
  8.   City:______________   Prov/State:____    Postal Code/Box#___________
  9.  
  10.   Size Disk Drive:   (check one)
  11.  
  12.      3.5HD [ ]     3.5DD [ ]     5.25HD [ ]    5.25DD [ ]
  13.  
  14.   Send to:
  15.          Rorik Henrikson
  16.          32 Rusholme Rd.
  17.          Toronto, On.
  18.          M6J 3H4
  19.  
  20.   Please make sure that we have your address so that we can send you the
  21.   newer version and other neat stuff.
  22.