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- This form will be OPTICALLY SCANNED, DO NOT Write on this Form. Information
- has been encoded to ensure accuracy. For Customer Service issues, see
- userÆs manual for contact information.
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- Fax this form to - NO COVER SHEET - : (800)-235-6445
- For outside US and Canada, Fax to: +1 (770)-612-9855
- Or mail in an envelope to: Micrografx, Inc., c/o IntelliQuest
- Communications Inc., P.O. Box 671449, Marietta, GA. 30006-0025
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- XXX:ALSXLSLAALLX Return: $(System.Return,6)
-
-
- First Name: $(Register.201,35)
- MI: $(Register.202,1)
- Last Name: $(Register.203,35)
- Birth Date: $(Register.224,10)
- Title: $(Register.205,30)
- Company: $(Register.204,50)
- Phone Area: $(Register.206,3)
- Phone Number: $(Register.207,15)
- Extension: $(Register.208,5)
- Street Add: $(Register.213,60)
- Apt/Suite#: $(Register.214,60)
- City: $(Register.215,30)
- State/Prov: $(Register.216,2)
- Zip/postal: $(Register.217,10)
- Country: $(Register.218,30)
- Fax Area: $(Register.209,3)
- Fax Number: $(Register.210,15)
- Modem Area: $(Register.211,3)
- Modem Number: $(Register.212,15)
- E-Mail: $(Register.223,50)
- Store Name: $(Register.219,30)
- Store Loc: $(Register.220,30)
-
- XXX:ALSXLSLAALLX
-