home *** CD-ROM | disk | FTP | other *** search
-
-
- I would like to be a registered user of COLORS:
-
-
- Name ______________________________________________________________
-
-
- Address ______________________________________________________________
-
-
- ______________________________________________________________
-
-
- City ____________________________ State ____ Zip ____________
-
-
- Amount $____________________________________ Date _______________
-
- ------------------------------fold-back-here------------------------------
-
-
- +-------+
- | place |
- | stamp |
- | here |
- +-------+
-
-
-
-
-
-
- Jim Bonczyk
- 1505 Harvard Lane
- Schaumburg, IL
- 60193
-
-
-
-
- --------------------------------fold-down-here----------------------------