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Text File  |  1996-01-01  |  978 b   |  43 lines
  1.  
  2.  
  3.     I would like to be a registered user of COLORS:
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  6.     Name    ______________________________________________________________
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  9.     Address ______________________________________________________________
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  12.             ______________________________________________________________
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  15.     City    ____________________________    State ____    Zip ____________
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  18.     Amount  $____________________________________   Date   _______________
  19.  
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  23.                                 +-------+
  24.                                                                 | place |
  25.                                                                 | stamp |
  26.                                                                 | here  |
  27.                                 +-------+
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  34.                 Jim Bonczyk
  35.                 1505 Harvard Lane
  36.                 Schaumburg, IL
  37.                         60193
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