/ PC Plus SuperCD (UK) 1995 March / PC Plus Super CD (Issue 101) (March 1995).iso / wincim / winsign.lib / SIGNUP.DGS

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MacOS 8.1

Win98

DOS

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+--------+-------------------------+-------------------------+--------+--------+
|00000000| 01 54 03 ff 00 1e 01 04 | 01 0f 50 00 00 00 00 00 |.T......|..P.....|
|00000010| 00 00 00 00 00 00 06 03 | 01 0b 01 00 00 0c 26 46 |........|......&F|
|00000020| 69 72 73 74 20 4e 61 6d | 65 3a 00 00 00 00 00 00 |irst Nam|e:......|
|00000030| 00 06 0f 01 15 02 04 00 | 00 05 00 00 00 00 00 00 |........|........|
|00000040| 06 26 01 05 01 00 00 06 | 26 4d 2e 49 2e 3a 00 00 |.&......|&M.I.:..|
|00000050| 00 00 00 00 00 06 2c 01 | 01 02 00 00 00 05 00 00 |......,.|........|
|00000060| 00 00 00 00 07 04 01 0a | 01 00 00 0b 26 4c 61 73 |........|....&Las|
|00000070| 74 20 4e 61 6d 65 3a 00 | 00 00 00 00 00 00 07 0f |t Name:.|........|
|00000080| 01 1e 02 04 00 00 04 00 | 00 00 00 00 00 08 06 01 |........|........|
|00000090| 08 01 00 00 09 26 41 64 | 64 72 65 73 73 3a 00 00 |.....&Ad|dress:..|
|000000a0| 00 00 00 00 00 08 0f 01 | 1e 02 04 00 00 07 00 00 |........|........|
|000000b0| 00 00 00 00 09 09 01 05 | 01 00 00 06 26 43 69 74 |........|....&Cit|
|000000c0| 79 3a 00 00 00 00 00 00 | 00 09 0f 01 1e 02 04 00 |y:......|........|
|000000d0| 00 09 00 00 00 00 00 00 | 0a 08 01 06 01 00 00 07 |........|........|
|000000e0| 26 53 74 61 74 65 3a 00 | 00 00 00 00 00 00 0a 0f |&State:.|........|
|000000f0| 01 02 02 04 00 00 0a 00 | 00 00 00 01 00 07 5b 53 |........|......[S|
|00000100| 54 41 54 45 5d 0a 14 01 | 04 01 00 00 05 26 5a 69 |TATE]...|.....&Zi|
|00000110| 70 3a 00 00 00 00 00 00 | 00 0a 19 01 0a 02 04 00 |p:......|........|
|00000120| 00 0b 00 00 00 00 01 00 | 05 5b 5a 49 50 5d 06 2f |........|.[ZIP]./|
|00000130| 01 0e 01 00 00 0f 2a 26 | 43 6f 6d 70 61 6e 79 20 |......*&|Company |
|00000140| 4e 61 6d 65 3a 00 00 00 | 00 00 00 00 07 30 01 1e |Name:...|.....0..|
|00000150| 02 00 00 00 06 00 00 00 | 00 00 00 08 30 01 11 01 |........|....0...|
|00000160| 00 00 12 26 45 76 65 6e | 69 6e 67 20 50 68 6f 6e |...&Even|ing Phon|
|00000170| 65 20 4e 6f 3a 00 00 00 | 00 00 00 00 08 42 01 0d |e No:...|.....B..|
|00000180| 02 04 00 00 0e 00 00 00 | 00 01 00 07 5b 50 48 4f |........|....[PHO|
|00000190| 4e 45 5d 09 2f 01 12 01 | 00 00 13 2a 26 44 61 79 |NE]./...|...*&Day|
|000001a0| 74 69 6d 65 20 50 68 6f | 6e 65 20 4e 6f 3a 00 00 |time Pho|ne No:..|
|000001b0| 00 00 00 00 00 09 42 01 | 0d 02 00 00 00 0f 00 00 |......B.|........|
|000001c0| 00 00 01 00 07 5b 50 48 | 4f 4e 45 5d 0a 32 01 0d |.....[PH|ONE].2..|
|000001d0| 01 00 00 0e 2a 26 53 2e | 53 2e 20 4e 75 6d 62 65 |....*&S.|S. Numbe|
|000001e0| 72 3a 00 00 00 00 00 00 | 00 0a 40 01 0b 02 00 00 |r:......|..@.....|
|000001f0| 00 10 00 00 00 35 49 6e | 76 61 6c 69 64 20 53 6f |.....5In|valid So|
|00000200| 63 69 61 6c 20 53 65 63 | 75 72 69 74 79 20 4e 75 |cial Sec|urity Nu|
|00000210| 6d 62 65 72 20 20 20 20 | 46 6f 72 6d 61 74 3a 20 |mber    |Format: |
|00000220| 35 35 35 2d 35 35 2d 35 | 35 35 35 04 00 0d 3c 4e |555-55-5|555...<N|
|00000230| 4e 4e 2d 4e 4e 2d 4e 4e | 4e 4e 3e 0b 3c 4e 4e 4e |NN-NN-NN|NN>.<NNN|
|00000240| 4e 4e 4e 4e 4e 4e 3e 0d | 3c 4e 4e 4e 2f 4e 4e 2f |NNNNNN>.|<NNN/NN/|
|00000250| 4e 4e 4e 4e 3e 0d 3c 4e | 4e 4e 20 4e 4e 20 4e 4e |NNNN>.<N|NN NN NN|
|00000260| 4e 4e 3e 0c 06 01 13 01 | 00 00 13 42 49 4c 4c 49 |NN>.....|...BILLI|
|00000270| 4e 47 20 49 4e 46 4f 52 | 4d 41 54 49 4f 4e 00 00 |NG INFOR|MATION..|
|00000280| 00 00 00 00 00 0e 04 01 | 13 01 00 00 14 26 43 72 |........|.....&Cr|
|00000290| 65 64 69 74 20 43 61 72 | 64 20 4e 75 6d 62 65 72 |edit Car|d Number|
|000002a0| 3a 00 00 00 00 00 00 00 | 0e 18 01 14 02 04 00 00 |:.......|........|
|000002b0| 13 00 00 00 00 00 00 0f | 04 01 17 01 00 00 18 26 |........|.......&|
|000002c0| 45 78 70 69 72 61 74 69 | 6f 6e 20 44 61 74 65 20 |Expirati|on Date |
|000002d0| 28 39 2f 39 39 29 3a 00 | 00 00 00 00 00 00 0f 1c |(9/99):.|........|
|000002e0| 01 05 02 04 00 00 15 00 | 00 00 17 49 6e 76 61 6c |........|...Inval|
|000002f0| 69 64 20 45 78 70 69 72 | 61 74 69 6f 6e 20 44 61 |id Expir|ation Da|
|00000300| 74 65 00 00 0e 30 03 0b | 05 10 00 0a 20 50 26 72 |te...0..|.... P&r|
|00000310| 6f 63 65 65 64 20 00 00 | 00 00 00 00 00 0e 40 03 |oceed ..|......@.|
|00000320| 0a 05 20 00 07 26 43 61 | 6e 63 65 6c 00 00 00 00 |.. ..&Ca|ncel....|
|00000330| 00 00 00 11 03 01 0c 01 | 00 00 0c 2a 20 3d 20 4f |........|...* = O|
|00000340| 70 74 69 6f 6e 61 6c 00 | 00 00 00 00 00 00 43 52 |ptional.|......CR|
|00000350| 45 44 49 43 52 44 00 64 | 01 ff 00 09 01 03 08 12 |EDICRD.d|........|
|00000360| 3c 00 00 00 00 00 00 00 | 00 00 00 00 05 19 01 17 |<.......|........|
|00000370| 03 00 00 13 43 6f 6d 70 | 75 53 65 72 76 65 20 4d |....Comp|uServe M|
|00000380| 61 67 61 7a 69 6e 65 00 | 01 00 00 00 00 00 00 07 |agazine.|........|
|00000390| 17 01 1e 01 00 00 1e 52 | 65 63 65 69 76 65 20 61 |.......R|eceive a|
|000003a0| 20 66 72 65 65 20 73 75 | 62 73 63 72 69 70 74 69 | free su|bscripti|
|000003b0| 6f 6e 20 74 6f 00 00 00 | 00 00 00 00 08 17 01 20 |on to...|....... |
|000003c0| 01 00 00 20 74 68 65 20 | 6d 6f 6e 74 68 6c 79 20 |... the |monthly |
|000003d0| 43 6f 6d 70 75 53 65 72 | 76 65 20 4d 61 67 61 7a |CompuSer|ve Magaz|
|000003e0| 69 6e 65 2e 00 00 00 00 | 00 00 00 0b 16 05 21 06 |ine.....|......!.|
|000003f0| 00 00 14 4f 74 68 65 72 | 20 4d 65 6d 62 65 72 20 |...Other| Member |
|00000400| 4f 70 74 69 6f 6e 73 00 | 00 00 00 00 00 00 0c 18 |Options.|........|
|00000410| 01 1c 03 00 00 18 4c 69 | 73 74 20 69 6e 20 4d 65 |......Li|st in Me|
|00000420| 6d 62 65 72 20 44 69 72 | 65 63 74 6f 72 79 00 08 |mber Dir|ectory..|
|00000430| 00 00 00 00 00 00 0d 18 | 01 1c 03 00 00 18 52 65 |........|......Re|
|00000440| 63 65 69 76 65 20 50 72 | 6f 6d 6f 74 69 6f 6e 61 |ceive Pr|omotiona|
|00000450| 6c 20 4d 61 69 6c 00 04 | 00 00 00 00 00 00 0e 18 |l Mail..|........|
|00000460| 01 1d 03 00 00 19 52 65 | 63 65 69 76 65 20 45 78 |......Re|ceive Ex|
|00000470| 74 65 72 6e 61 6c 20 4d | 61 69 6c 69 6e 67 73 00 |ternal M|ailings.|
|00000480| 10 00 00 00 00 00 00 11 | 16 03 0b 05 10 00 08 26 |........|.......&|
|00000490| 50 72 6f 63 65 65 64 00 | 00 00 00 00 00 00 11 2c |Proceed.|.......,|
|000004a0| 03 0b 05 20 00 07 26 43 | 61 6e 63 65 6c 00 00 00 |... ..&C|ancel...|
|000004b0| 00 00 00 00 4d 45 4d 42 | 45 52 00 44 00 81 04 ff |....MEMB|ER.D....|
|000004c0| 00 2a 01 04 01 12 50 00 | 00 00 00 00 00 00 00 00 |.*....P.|........|
|000004d0| 00 00 06 03 01 0b 01 00 | 00 0c 26 46 69 72 73 74 |........|..&First|
|000004e0| 20 4e 61 6d 65 3a 00 00 | 00 00 00 00 00 06 0f 01 | Name:..|........|
|000004f0| 15 02 04 00 00 05 00 00 | 00 00 00 00 06 26 01 05 |........|.....&..|
|00000500| 01 00 00 06 26 4d 2e 49 | 2e 3a 00 00 00 00 00 00 |....&M.I|.:......|
|00000510| 00 06 2c 01 01 02 00 00 | 00 05 00 00 00 00 00 00 |..,.....|........|
|00000520| 07 04 01 0a 01 00 00 0b | 26 4c 61 73 74 20 4e 61 |........|&Last Na|
|00000530| 6d 65 3a 00 00 00 00 00 | 00 00 07 0f 01 1e 02 04 |me:.....|........|
|00000540| 00 00 04 00 00 00 00 00 | 00 08 06 01 08 01 00 00 |........|........|
|00000550| 09 26 41 64 64 72 65 73 | 73 3a 00 00 00 00 00 00 |.&Addres|s:......|
|00000560| 00 08 0f 01 1e 02 04 00 | 00 07 00 00 00 00 00 00 |........|........|
|00000570| 09 09 01 05 01 00 00 06 | 26 43 69 74 79 3a 00 00 |........|&City:..|
|00000580| 00 00 00 00 00 09 0f 01 | 1e 02 04 00 00 09 00 00 |........|........|
|00000590| 00 00 00 00 0a 08 01 06 | 01 00 00 07 26 53 74 61 |........|....&Sta|
|000005a0| 74 65 3a 00 00 00 00 00 | 00 00 0a 0f 01 02 02 04 |te:.....|........|
|000005b0| 00 00 0a 00 00 00 00 01 | 00 07 5b 53 54 41 54 45 |........|..[STATE|
|000005c0| 5d 0a 14 01 04 01 00 00 | 05 26 5a 69 70 3a 00 00 |].......|.&Zip:..|
|000005d0| 00 00 00 00 00 0a 19 01 | 0a 02 04 00 00 0b 00 00 |........|........|
|000005e0| 00 00 01 00 05 5b 5a 49 | 50 5d 06 2f 01 0e 01 00 |.....[ZI|P]./....|
|000005f0| 00 0f 2a 26 43 6f 6d 70 | 61 6e 79 20 4e 61 6d 65 |..*&Comp|any Name|
|00000600| 3a 00 00 00 00 00 00 00 | 07 30 01 1e 02 00 00 00 |:.......|.0......|
|00000610| 06 00 00 00 00 00 00 08 | 30 01 11 01 00 00 12 26 |........|0......&|
|00000620| 45 76 65 6e 69 6e 67 20 | 50 68 6f 6e 65 20 4e 6f |Evening |Phone No|
|00000630| 3a 00 00 00 00 00 00 00 | 08 41 01 0d 02 04 00 00 |:.......|.A......|
|00000640| 0e 00 00 00 00 01 00 07 | 5b 50 48 4f 4e 45 5d 09 |........|[PHONE].|
|00000650| 2f 01 12 01 00 00 13 2a | 26 44 61 79 74 69 6d 65 |/......*|&Daytime|
|00000660| 20 50 68 6f 6e 65 20 4e | 6f 3a 00 00 00 00 00 00 | Phone N|o:......|
|00000670| 00 09 41 01 0d 02 00 00 | 00 0f 00 00 00 00 01 00 |..A.....|........|
|00000680| 07 5b 50 48 4f 4e 45 5d | 0a 32 01 0c 01 00 00 0d |.[PHONE]|.2......|
|00000690| 26 53 2e 53 2e 20 4e 75 | 6d 62 65 72 3a 00 00 00 |&S.S. Nu|mber:...|
|000006a0| 00 00 00 00 0a 3f 01 0b | 02 00 00 00 10 00 00 00 |.....?..|........|
|000006b0| 35 49 6e 76 61 6c 69 64 | 20 53 6f 63 69 61 6c 20 |5Invalid| Social |
|000006c0| 53 65 63 75 72 69 74 79 | 20 4e 75 6d 62 65 72 20 |Security| Number |
|000006d0| 20 20 20 46 6f 72 6d 61 | 74 3a 20 35 35 35 2d 35 |   Forma|t: 555-5|
|000006e0| 35 2d 35 35 35 35 04 00 | 0d 3c 4e 4e 4e 2d 4e 4e |5-5555..|.<NNN-NN|
|000006f0| 2d 4e 4e 4e 4e 3e 0b 3c | 4e 4e 4e 4e 4e 4e 4e 4e |-NNNN>.<|NNNNNNNN|
|00000700| 4e 3e 0d 3c 4e 4e 4e 20 | 4e 4e 20 4e 4e 4e 4e 3e |N>.<NNN |NN NNNN>|
|00000710| 0d 3c 4e 4e 4e 2f 4e 4e | 2f 4e 4e 4e 4e 3e 0c 06 |.<NNN/NN|/NNNN>..|
|00000720| 01 13 01 00 00 13 42 49 | 4c 4c 49 4e 47 20 49 4e |......BI|LLING IN|
|00000730| 46 4f 52 4d 41 54 49 4f | 4e 00 00 00 00 00 00 00 |FORMATIO|N.......|
|00000740| 0e 03 01 14 01 00 00 15 | 26 43 68 65 63 6b 69 6e |........|&Checkin|
|00000750| 67 20 41 63 63 6f 75 6e | 74 20 4e 6f 3a 00 00 00 |g Accoun|t No:...|
|00000760| 00 00 00 00 0e 18 01 11 | 02 04 00 00 13 00 00 00 |........|........|
|00000770| 00 00 00 0f 07 01 10 01 | 00 00 11 26 4e 61 6d 65 |........|...&Name|
|00000780| 20 6f 6e 20 41 63 63 6f | 75 6e 74 3a 00 00 00 00 | on Acco|unt:....|
|00000790| 00 00 00 0f 18 01 14 02 | 04 00 00 16 00 00 1e 00 |........|........|
|000007a0| 00 00 10 0d 01 0a 01 00 | 00 0b 26 42 61 6e 6b 20 |........|..&Bank |
|000007b0| 4e 61 6d 65 3a 00 00 00 | 00 00 00 00 10 18 01 14 |Name:...|........|
|000007c0| 02 04 00 00 14 00 00 00 | 00 00 00 11 0d 01 0a 01 |........|........|
|000007d0| 00 00 0b 26 42 61 6e 6b | 20 43 69 74 79 3a 00 00 |...&Bank| City:..|
|000007e0| 00 00 00 00 00 11 18 01 | 14 02 04 00 00 17 00 00 |........|........|
|000007f0| 1e 00 00 00 12 0c 01 0b | 01 00 00 0c 26 42 61 6e |........|....&Ban|
|00000800| 6b 20 53 74 61 74 65 3a | 00 00 00 00 00 00 00 12 |k State:|........|
|00000810| 18 01 02 02 04 00 00 18 | 00 00 00 00 01 00 07 5b |........|.......[|
|00000820| 53 54 41 54 45 5d 13 03 | 01 29 01 00 00 2a 26 44 |STATE]..|.)...*&D|
|00000830| 6f 65 73 20 22 50 61 79 | 61 62 6c 65 20 54 68 72 |oes "Pay|able Thr|
|00000840| 75 22 20 61 70 70 65 61 | 72 20 6f 6e 20 63 68 65 |u" appea|r on che|
|00000850| 63 6b 28 59 2f 4e 29 3f | 00 00 00 00 00 00 00 13 |ck(Y/N)?|........|
|00000860| 2d 01 01 02 04 00 00 1b | 00 00 00 15 45 78 70 65 |-.......|....Expe|
|00000870| 63 74 65 64 20 59 2f 4e | 20 52 65 73 70 6f 6e 73 |cted Y/N| Respons|
|00000880| 65 04 00 01 59 01 4e 01 | 79 01 6e 0e 30 01 13 01 |e...Y.N.|y.n.0...|
|00000890| 00 00 14 52 6f 75 74 69 | 6e 67 20 26 54 72 61 6e |...Routi|ng &Tran|
|000008a0| 73 69 74 20 4e 6f 3a 00 | 00 00 00 00 00 00 0e 43 |sit No:.|.......C|
|000008b0| 01 0c 02 04 00 00 1a 00 | 01 00 00 00 00 0f 30 01 |........|......0.|
|000008c0| 10 01 00 00 11 26 53 61 | 6d 70 6c 65 20 43 68 65 |.....&Sa|mple Che|
|000008d0| 63 6b 20 4e 6f 3a 00 00 | 00 00 00 00 00 0f 41 01 |ck No:..|......A.|
|000008e0| 0c 02 04 00 00 19 00 01 | 00 00 00 00 12 31 03 0b |........|.....1..|
|000008f0| 05 10 00 0a 20 50 26 72 | 6f 63 65 65 64 20 00 00 |.... P&r|oceed ..|
|00000900| 00 00 00 00 00 12 41 03 | 0a 05 20 00 08 20 26 43 |......A.|.. .. &C|
|00000910| 61 6e 63 65 6c 00 00 00 | 00 00 00 00 14 03 01 0c |ancel...|........|
|00000920| 01 00 00 0c 2a 20 3d 20 | 4f 70 74 69 6f 6e 61 6c |....* = |Optional|
|00000930| 00 00 00 00 00 00 00 43 | 48 43 4b 46 52 45 45 00 |.......C|HCKFREE.|
|00000940| 64 01 ff 00 09 01 03 08 | 12 3c 00 00 00 00 00 00 |d.......|.<......|
|00000950| 00 00 00 00 00 05 19 01 | 17 03 00 00 13 43 6f 6d |........|.....Com|
|00000960| 70 75 53 65 72 76 65 20 | 4d 61 67 61 7a 69 6e 65 |puServe |Magazine|
|00000970| 00 01 00 00 00 00 00 00 | 07 17 01 1e 01 00 00 1e |........|........|
|00000980| 52 65 63 65 69 76 65 20 | 61 20 66 72 65 65 20 73 |Receive |a free s|
|00000990| 75 62 73 63 72 69 70 74 | 69 6f 6e 20 74 6f 00 00 |ubscript|ion to..|
|000009a0| 00 00 00 00 00 08 17 01 | 20 01 00 00 20 74 68 65 |........| ... the|
|000009b0| 20 6d 6f 6e 74 68 6c 79 | 20 43 6f 6d 70 75 53 65 | monthly| CompuSe|
|000009c0| 72 76 65 20 4d 61 67 61 | 7a 69 6e 65 2e 00 00 00 |rve Maga|zine....|
|000009d0| 00 00 00 00 0b 16 05 21 | 06 00 00 14 4f 74 68 65 |.......!|....Othe|
|000009e0| 72 20 4d 65 6d 62 65 72 | 20 4f 70 74 69 6f 6e 73 |r Member| Options|
|000009f0| 00 00 00 00 00 00 00 0c | 18 01 1c 03 00 00 18 4c |........|.......L|
|00000a00| 69 73 74 20 69 6e 20 4d | 65 6d 62 65 72 20 44 69 |ist in M|ember Di|
|00000a10| 72 65 63 74 6f 72 79 00 | 08 00 00 00 00 00 00 0d |rectory.|........|
|00000a20| 18 01 1c 03 00 00 18 52 | 65 63 65 69 76 65 20 50 |.......R|eceive P|
|00000a30| 72 6f 6d 6f 74 69 6f 6e | 61 6c 20 4d 61 69 6c 00 |romotion|al Mail.|
|00000a40| 04 00 00 00 00 00 00 0e | 18 01 1d 03 00 00 19 52 |........|.......R|
|00000a50| 65 63 65 69 76 65 20 45 | 78 74 65 72 6e 61 6c 20 |eceive E|xternal |
|00000a60| 4d 61 69 6c 69 6e 67 73 | 00 10 00 00 00 00 00 00 |Mailings|........|
|00000a70| 11 16 03 0b 05 10 00 08 | 26 50 72 6f 63 65 65 64 |........|&Proceed|
|00000a80| 00 00 00 00 00 00 00 11 | 2c 03 0b 05 20 00 07 26 |........|,... ..&|
|00000a90| 43 61 6e 63 65 6c 00 00 | 00 00 00 00 00 4d 45 4d |Cancel..|.....MEM|
|00000aa0| 42 45 52 00 45 00 79 04 | ff 00 2e 01 04 01 12 50 |BER.E.y.|.......P|
|00000ab0| 00 00 00 00 00 00 00 00 | 00 00 00 05 03 01 0b 01 |........|........|
|00000ac0| 00 00 0c 26 46 69 72 73 | 74 20 4e 61 6d 65 3a 00 |...&Firs|t Name:.|
|00000ad0| 00 00 00 00 00 00 05 0f | 01 15 02 04 00 00 05 00 |........|........|
|00000ae0| 00 00 00 00 00 05 26 01 | 05 01 00 00 06 26 4d 2e |......&.|.....&M.|
|00000af0| 49 2e 3a 00 00 00 00 00 | 00 00 05 2c 01 01 02 00 |I.:.....|...,....|
|00000b00| 00 00 05 00 00 00 00 00 | 00 06 04 01 0a 01 00 00 |........|........|
|00000b10| 0b 26 4c 61 73 74 20 4e | 61 6d 65 3a 00 00 00 00 |.&Last N|ame:....|
|00000b20| 00 00 00 06 0f 01 1e 02 | 04 00 00 04 00 00 00 00 |........|........|
|00000b30| 00 00 07 06 01 08 01 00 | 00 09 26 41 64 64 72 65 |........|..&Addre|
|00000b40| 73 73 3a 00 00 00 00 00 | 00 00 07 0f 01 1e 02 04 |ss:.....|........|
|00000b50| 00 00 07 00 00 00 00 00 | 00 08 09 01 05 01 00 00 |........|........|
|00000b60| 06 26 43 69 74 79 3a 00 | 00 00 00 00 00 00 08 0f |.&City:.|........|
|00000b70| 01 1e 02 04 00 00 09 00 | 00 00 00 00 00 09 08 01 |........|........|
|00000b80| 06 01 00 00 07 26 53 74 | 61 74 65 3a 00 00 00 00 |.....&St|ate:....|
|00000b90| 00 00 00 09 0f 01 02 02 | 04 00 00 0a 00 00 00 00 |........|........|
|00000ba0| 01 00 07 5b 53 54 41 54 | 45 5d 09 14 01 04 01 00 |...[STAT|E]......|
|00000bb0| 00 05 26 5a 69 70 3a 00 | 00 00 00 00 00 00 09 19 |..&Zip:.|........|
|00000bc0| 01 0a 02 04 00 00 0b 00 | 00 00 00 01 00 05 5b 5a |........|......[Z|
|00000bd0| 49 50 5d 05 30 01 0d 01 | 00 00 0e 26 43 6f 6d 70 |IP].0...|...&Comp|
|00000be0| 61 6e 79 20 4e 61 6d 65 | 3a 00 00 00 00 00 00 00 |any Name|:.......|
|00000bf0| 06 30 01 1e 02 04 00 00 | 06 00 00 00 00 00 00 08 |.0......|........|
|00000c00| 30 01 1e 02 00 00 00 1c | 00 00 00 00 00 00 09 30 |0.......|.......0|
|00000c10| 01 11 01 00 00 12 26 45 | 76 65 6e 69 6e 67 20 50 |......&E|vening P|
|00000c20| 68 6f 6e 65 20 4e 6f 3a | 00 00 00 00 00 00 00 09 |hone No:|........|
|00000c30| 42 01 0d 02 04 00 00 0e | 00 00 00 00 01 00 07 5b |B.......|.......[|
|00000c40| 50 48 4f 4e 45 5d 0a 30 | 01 11 01 00 00 12 26 44 |PHONE].0|......&D|
|00000c50| 61 79 74 69 6d 65 20 50 | 68 6f 6e 65 20 4e 6f 3a |aytime P|hone No:|
|00000c60| 00 00 00 00 00 00 00 0a | 42 01 0d 02 04 00 00 0f |........|B.......|
|00000c70| 00 00 00 00 01 00 07 5b | 50 48 4f 4e 45 5d 0b 31 |.......[|PHONE].1|
|00000c80| 01 0d 01 00 00 0e 2a 26 | 53 2e 53 2e 20 4e 75 6d |......*&|S.S. Num|
|00000c90| 62 65 72 3a 00 00 00 00 | 00 00 00 0b 3f 01 0b 02 |ber:....|....?...|
|00000ca0| 00 00 00 10 00 00 00 35 | 49 6e 76 61 6c 69 64 20 |.......5|Invalid |
|00000cb0| 53 6f 63 69 61 6c 20 53 | 65 63 75 72 69 74 79 20 |Social S|ecurity |
|00000cc0| 4e 75 6d 62 65 72 20 20 | 20 20 46 6f 72 6d 61 74 |Number  |  Format|
|00000cd0| 3a 20 35 35 35 2d 35 35 | 2d 35 35 35 35 04 00 0d |: 555-55|-5555...|
|00000ce0| 3c 4e 4e 4e 2f 4e 4e 2f | 4e 4e 4e 4e 3e 0b 3c 4e |<NNN/NN/|NNNN>.<N|
|00000cf0| 4e 4e 4e 4e 4e 4e 4e 4e | 3e 0d 3c 4e 4e 4e 2d 4e |NNNNNNNN|>.<NNN-N|
|00000d00| 4e 2d 4e 4e 4e 4e 3e 0d | 3c 4e 4e 4e 20 4e 4e 20 |N-NNNN>.|<NNN NN |
|00000d10| 4e 4e 4e 4e 3e 0c 10 01 | 0e 01 00 00 0e 42 61 6e |NNNN>...|.....Ban|
|00000d20| 6b 20 52 65 66 65 72 65 | 6e 63 65 00 00 00 00 00 |k Refere|nce.....|
|00000d30| 00 00 0d 03 01 0a 01 00 | 00 0b 26 42 61 6e 6b 20 |........|..&Bank |
|00000d40| 4e 61 6d 65 3a 00 00 00 | 00 00 00 00 0d 0e 01 1e |Name:...|........|
|00000d50| 02 04 00 00 14 00 00 00 | 00 00 00 0e 05 01 08 01 |........|........|
|00000d60| 00 00 09 26 41 64 64 72 | 65 73 73 3a 00 00 00 00 |...&Addr|ess:....|
|00000d70| 00 00 00 0e 0e 01 1e 02 | 04 00 00 2a 00 00 00 00 |........|...*....|
|00000d80| 00 00 0f 08 01 05 01 00 | 00 06 26 43 69 74 79 3a |........|..&City:|
|00000d90| 00 00 00 00 00 00 00 0f | 0e 01 1e 02 04 00 00 2b |........|.......+|
|00000da0| 00 00 00 00 00 00 10 07 | 01 06 01 00 00 07 26 53 |........|......&S|
|00000db0| 74 61 74 65 3a 00 00 00 | 00 00 00 00 10 0e 01 02 |tate:...|........|
|00000dc0| 02 04 00 00 2c 00 00 00 | 00 01 00 07 5b 53 54 41 |....,...|....[STA|
|00000dd0| 54 45 5d 10 14 01 04 01 | 00 00 05 26 5a 69 70 3a |TE].....|...&Zip:|
|00000de0| 00 00 00 00 00 00 00 10 | 19 01 0a 02 04 00 00 2d |........|.......-|
|00000df0| 00 00 00 00 01 00 05 5b | 5a 49 50 5d 11 04 01 09 |.......[|ZIP]....|
|00000e00| 01 00 00 0a 2a 26 43 6f | 6e 74 61 63 74 3a 00 00 |....*&Co|ntact:..|
|00000e10| 00 00 00 00 00 11 0e 01 | 1e 02 00 00 00 2f 00 00 |........|...../..|
|00000e20| 00 00 00 00 0d 30 01 07 | 01 00 00 08 2a 26 50 68 |.....0..|....*&Ph|
|00000e30| 6f 6e 65 3a 00 00 00 00 | 00 00 00 0d 38 01 0d 02 |one:....|....8...|
|00000e40| 00 00 00 30 00 00 00 00 | 01 00 07 5b 50 48 4f 4e |...0....|...[PHON|
|00000e50| 45 5d 0e 30 01 08 01 00 | 00 09 2a 26 42 72 61 6e |E].0....|..*&Bran|
|00000e60| 63 68 3a 00 00 00 00 00 | 00 00 0f 30 01 1e 02 00 |ch:.....|...0....|
|00000e70| 00 00 2e 00 00 00 00 00 | 00 10 30 01 0b 01 00 00 |........|..0.....|
|00000e80| 0c 2a 26 41 63 63 74 2e | 20 4e 6f 2e 3a 00 00 00 |.*&Acct.| No.:...|
|00000e90| 00 00 00 00 10 3b 01 14 | 02 00 00 00 13 00 00 00 |.....;..|........|
|00000ea0| 00 00 00 12 31 03 0b 05 | 10 00 0a 20 50 26 72 6f |....1...|... P&ro|
|00000eb0| 63 65 65 64 20 00 00 00 | 00 00 00 00 12 41 03 0a |ceed ...|.....A..|
|00000ec0| 05 20 00 07 26 43 61 6e | 63 65 6c 00 00 00 00 00 |. ..&Can|cel.....|
|00000ed0| 00 00 14 03 01 0c 01 00 | 00 0c 2a 20 3d 20 4f 70 |........|..* = Op|
|00000ee0| 74 69 6f 6e 61 6c 00 00 | 00 00 00 00 00 07 30 01 |tional..|......0.|
|00000ef0| 1b 01 00 00 1c 2a 26 44 | 69 76 69 73 69 6f 6e 20 |.....*&D|ivision |
|00000f00| 6f 72 20 53 75 62 73 69 | 64 69 61 72 79 20 6f 66 |or Subsi|diary of|
|00000f10| 3a 00 00 00 00 00 00 00 | 43 42 41 31 00 52 00 45 |:.......|CBA1.R.E|
|00000f20| 00 58 03 ff 00 22 02 04 | 01 12 50 00 00 00 00 00 |.X..."..|..P.....|
|00000f30| 00 00 00 00 00 00 05 04 | 01 21 01 00 00 21 41 44 |........|.!...!AD|
|00000f40| 4d 49 4e 49 53 54 52 41 | 54 4f 52 20 41 43 43 4f |MINISTRA|TOR ACCO|
|00000f50| 55 4e 54 20 49 4e 46 4f | 52 4d 41 54 49 4f 4e 00 |UNT INFO|RMATION.|
|00000f60| 00 00 00 00 00 00 07 03 | 01 0b 01 00 00 0c 26 46 |........|......&F|
|00000f70| 69 72 73 74 20 4e 61 6d | 65 3a 00 00 00 00 00 00 |irst Nam|e:......|
|00000f80| 00 07 0f 01 15 02 04 00 | 00 1e 00 00 00 00 00 00 |........|........|
|00000f90| 07 26 01 05 01 00 00 06 | 26 4d 2e 49 2e 3a 00 00 |.&......|&M.I.:..|
|00000fa0| 00 00 00 00 00 07 2c 01 | 01 02 00 00 00 1e 00 00 |......,.|........|
|00000fb0| 00 00 00 00 08 04 01 0a | 01 00 00 0b 26 4c 61 73 |........|....&Las|
|00000fc0| 74 20 4e 61 6d 65 3a 00 | 00 00 00 00 00 00 08 0f |t Name:.|........|
|00000fd0| 01 1e 02 04 00 00 1d 00 | 00 00 00 00 00 09 06 01 |........|........|
|00000fe0| 08 01 00 00 09 26 41 64 | 64 72 65 73 73 3a 00 00 |.....&Ad|dress:..|
|00000ff0| 00 00 00 00 00 09 0f 01 | 1e 02 04 00 00 1f 00 00 |........|........|
|00001000| 00 00 00 00 0a 09 01 05 | 01 00 00 06 26 43 69 74 |........|....&Cit|
|00001010| 79 3a 00 00 00 00 00 00 | 00 0a 0f 01 1e 02 04 00 |y:......|........|
|00001020| 00 20 00 00 00 13 49 6e | 76 61 6c 69 64 20 50 6f |. ....In|valid Po|
|00001030| 73 74 61 6c 20 43 6f 64 | 65 00 00 0b 08 01 06 01 |stal Cod|e.......|
|00001040| 00 00 07 26 53 74 61 74 | 65 3a 00 00 00 00 00 00 |...&Stat|e:......|
|00001050| 00 0b 0f 01 02 02 04 00 | 00 21 00 00 00 00 01 00 |........|.!......|
|00001060| 07 5b 53 54 41 54 45 5d | 0b 15 01 04 01 00 00 05 |.[STATE]|........|
|00001070| 26 5a 69 70 3a 00 00 00 | 00 00 00 00 0b 1a 01 0a |&Zip:...|........|
|00001080| 02 04 00 00 22 00 00 00 | 00 01 00 05 5b 5a 49 50 |...."...|....[ZIP|
|00001090| 5d 07 2e 01 12 01 00 00 | 13 2a 26 50 75 72 63 68 |].......|.*&Purch|
|000010a0| 61 73 65 20 4f 72 64 65 | 72 20 23 3a 00 00 00 00 |ase Orde|r #:....|
|000010b0| 00 00 00 07 41 01 0f 02 | 00 00 00 25 00 00 00 00 |....A...|...%....|
|000010c0| 00 00 08 2e 01 12 01 00 | 00 13 2a 26 46 65 64 65 |........|..*&Fede|
|000010d0| 72 61 6c 20 54 61 78 20 | 49 44 20 23 3a 00 00 00 |ral Tax |ID #:...|
|000010e0| 00 00 00 00 08 41 01 0b | 02 00 00 00 24 00 01 00 |.....A..|....$...|
|000010f0| 00 00 00 09 2f 01 09 01 | 00 00 0a 26 50 68 6f 6e |..../...|...&Phon|
|00001100| 65 20 4e 6f 3a 00 00 00 | 00 00 00 00 09 39 01 0d |e No:...|.....9..|
|00001110| 02 04 00 00 23 00 00 00 | 00 01 00 07 5b 50 48 4f |....#...|....[PHO|
|00001120| 4e 45 5d 0d 08 05 17 06 | 00 00 12 20 46 6f 72 6d |NE].....|... Form|
|00001130| 20 6f 66 20 42 75 73 69 | 6e 65 73 73 20 00 00 00 | of Busi|ness ...|
|00001140| 00 00 00 00 0e 09 01 13 | 04 02 00 0f 53 6f 6c 65 |........|....Sole|
|00001150| 20 50 72 6f 70 72 69 65 | 74 6f 72 26 01 00 00 00 | Proprie|tor&....|
|00001160| 00 00 00 0f 09 01 0f 04 | 00 00 0b 43 6f 72 70 6f |........|...Corpo|
|00001170| 72 61 74 69 6f 6e 26 02 | 00 00 00 00 00 00 10 09 |ration&.|........|
|00001180| 01 0f 04 80 00 0b 50 61 | 72 74 6e 65 72 73 68 69 |......Pa|rtnershi|
|00001190| 70 26 03 00 00 00 00 00 | 00 0d 2d 01 11 01 00 00 |p&......|..-.....|
|000011a0| 12 26 4b 69 6e 64 20 6f | 66 20 42 75 73 69 6e 65 |.&Kind o|f Busine|
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|000011c0| 00 00 28 00 00 00 00 00 | 00 0f 2d 01 14 01 00 00 |..(.....|..-.....|
|000011d0| 15 26 4e 75 6d 62 65 72 | 20 6f 66 20 45 6d 70 6c |.&Number| of Empl|
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|000011f0| 05 02 04 00 00 29 00 01 | 00 00 00 00 10 2d 01 0d |.....)..|.....-..|
|00001200| 01 00 00 0e 26 44 61 74 | 65 20 53 74 61 72 74 65 |....&Dat|e Starte|
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|00001220| 00 27 00 00 00 00 00 00 | 12 31 03 0b 05 10 00 0a |.'......|.1......|
|00001230| 20 50 26 72 6f 63 65 65 | 64 20 00 00 00 00 00 00 | P&rocee|d ......|
|00001240| 00 12 3f 03 0a 05 20 00 | 07 26 43 61 6e 63 65 6c |..?... .|.&Cancel|
|00001250| 00 00 00 00 00 00 00 14 | 03 01 0c 01 00 00 0c 2a |........|.......*|
|00001260| 20 3d 20 4f 70 74 69 6f | 6e 61 6c 00 00 00 00 00 | = Optio|nal.....|
|00001270| 00 00 43 42 41 32 00 52 | 00 45 00 c4 02 ff 00 20 |..CBA2.R|.E..... |
|00001280| 02 04 01 10 50 00 00 00 | 00 00 00 00 00 00 00 00 |....P...|........|
|00001290| 05 04 01 11 01 00 00 11 | 43 52 45 44 49 54 20 52 |........|CREDIT R|
|000012a0| 45 46 45 52 45 4e 43 45 | 53 00 00 00 00 00 00 00 |EFERENCE|S.......|
|000012b0| 07 03 01 0d 01 00 00 0e | 26 43 6f 6d 70 61 6e 79 |........|&Company|
|000012c0| 20 4e 61 6d 65 3a 00 00 | 00 00 00 00 00 07 11 01 | Name:..|........|
|000012d0| 1e 02 04 00 00 32 00 00 | 00 00 00 00 08 08 01 08 |.....2..|........|
|000012e0| 01 00 00 09 26 41 64 64 | 72 65 73 73 3a 00 00 00 |....&Add|ress:...|
|000012f0| 00 00 00 00 08 11 01 1e | 02 04 00 00 33 00 00 00 |........|....3...|
|00001300| 00 00 00 09 0b 01 05 01 | 00 00 06 26 43 69 74 79 |........|...&City|
|00001310| 3a 00 00 00 00 00 00 00 | 09 11 01 1e 02 04 00 00 |:.......|........|
|00001320| 34 00 00 00 00 00 00 0a | 0a 01 06 01 00 00 07 26 |4.......|.......&|
|00001330| 53 74 61 74 65 3a 00 00 | 00 00 00 00 00 0a 11 01 |State:..|........|
|00001340| 02 02 04 00 00 35 00 00 | 00 00 01 00 07 5b 53 54 |.....5..|.....[ST|
|00001350| 41 54 45 5d 0a 16 01 04 | 01 00 00 05 26 5a 69 70 |ATE]....|....&Zip|
|00001360| 3a 00 00 00 00 00 00 00 | 0a 1b 01 0a 02 04 00 00 |:.......|........|
|00001370| 36 00 00 00 00 00 00 07 | 30 01 09 01 00 00 0a 2a |6.......|0......*|
|00001380| 26 43 6f 6e 74 61 63 74 | 3a 00 00 00 00 00 00 00 |&Contact|:.......|
|00001390| 08 31 01 1e 02 00 00 00 | 37 00 00 00 00 00 00 09 |.1......|7.......|
|000013a0| 31 01 06 01 00 00 07 26 | 50 68 6f 6e 65 3a 00 00 |1......&|Phone:..|
|000013b0| 00 00 00 00 00 09 38 01 | 0d 02 04 00 00 38 00 00 |......8.|.....8..|
|000013c0| 00 00 01 00 07 5b 50 48 | 4f 4e 45 5d 0c 03 01 0d |.....[PH|ONE]....|
|000013d0| 01 00 00 0e 26 43 6f 6d | 70 61 6e 79 20 4e 61 6d |....&Com|pany Nam|
|000013e0| 65 3a 00 00 00 00 00 00 | 00 0c 11 01 1e 02 04 00 |e:......|........|
|000013f0| 00 3c 00 00 00 00 00 00 | 0d 08 01 08 01 00 00 09 |.<......|........|
|00001400| 26 41 64 64 72 65 73 73 | 3a 00 00 00 00 00 00 00 |&Address|:.......|
|00001410| 0d 11 01 1e 02 04 00 00 | 3d 00 00 00 00 00 00 0e |........|=.......|
|00001420| 0b 01 05 01 00 00 06 26 | 43 69 74 79 3a 00 00 00 |.......&|City:...|
|00001430| 00 00 00 00 0e 11 01 1e | 02 04 00 00 3e 00 00 00 |........|....>...|
|00001440| 00 00 00 0f 0a 01 06 01 | 00 00 07 26 53 74 61 74 |........|...&Stat|
|00001450| 65 3a 00 00 00 00 00 00 | 00 0f 11 01 02 02 04 00 |e:......|........|
|00001460| 00 3f 00 00 00 00 01 00 | 07 5b 53 54 41 54 45 5d |.?......|.[STATE]|
|00001470| 0f 16 01 04 01 00 00 05 | 26 5a 69 70 3a 00 00 00 |........|&Zip:...|
|00001480| 00 00 00 00 0f 1b 01 0a | 02 04 00 00 40 00 00 00 |........|....@...|
|00001490| 00 01 00 05 5b 5a 49 50 | 5d 0c 30 01 09 01 00 00 |....[ZIP|].0.....|
|000014a0| 0a 2a 26 43 6f 6e 74 61 | 63 74 3a 00 00 00 00 00 |.*&Conta|ct:.....|
|000014b0| 00 00 0d 31 01 1e 02 00 | 00 00 41 00 00 00 00 00 |...1....|..A.....|
|000014c0| 00 0e 31 01 06 01 00 00 | 07 26 50 68 6f 6e 65 3a |..1.....|.&Phone:|
|000014d0| 00 00 00 00 00 00 00 0e | 38 01 0d 02 04 00 00 42 |........|8......B|
|000014e0| 00 00 00 00 01 00 07 5b | 50 48 4f 4e 45 5d 10 31 |.......[|PHONE].1|
|000014f0| 03 0b 05 10 00 0a 20 50 | 26 72 6f 63 65 65 64 20 |...... P|&roceed |
|00001500| 00 00 00 00 00 00 00 10 | 41 03 0a 05 20 00 07 26 |........|A... ..&|
|00001510| 43 61 6e 63 65 6c 00 00 | 00 00 00 00 00 11 03 01 |Cancel..|........|
|00001520| 0c 01 00 00 0c 2a 20 3d | 20 4f 70 74 69 6f 6e 61 |.....* =| Optiona|
|00001530| 6c 00 00 00 00 00 00 00 | 43 42 41 33 00 52 00 45 |l.......|CBA3.R.E|
|00001540| 00 64 01 ff 00 09 01 03 | 08 12 3c 00 00 00 00 00 |.d......|..<.....|
|00001550| 00 00 00 00 00 00 05 19 | 01 17 03 00 00 13 43 6f |........|......Co|
|00001560| 6d 70 75 53 65 72 76 65 | 20 4d 61 67 61 7a 69 6e |mpuServe| Magazin|
|00001570| 65 00 01 00 00 00 00 00 | 00 07 17 01 1e 01 00 00 |e.......|........|
|00001580| 1e 52 65 63 65 69 76 65 | 20 61 20 66 72 65 65 20 |.Receive| a free |
|00001590| 73 75 62 73 63 72 69 70 | 74 69 6f 6e 20 74 6f 00 |subscrip|tion to.|
|000015a0| 00 00 00 00 00 00 08 17 | 01 20 01 00 00 20 74 68 |........|. ... th|
|000015b0| 65 20 6d 6f 6e 74 68 6c | 79 20 43 6f 6d 70 75 53 |e monthl|y CompuS|
|000015c0| 65 72 76 65 20 4d 61 67 | 61 7a 69 6e 65 2e 00 00 |erve Mag|azine...|
|000015d0| 00 00 00 00 00 0b 16 05 | 21 06 00 00 14 4f 74 68 |........|!....Oth|
|000015e0| 65 72 20 4d 65 6d 62 65 | 72 20 4f 70 74 69 6f 6e |er Membe|r Option|
|000015f0| 73 00 00 00 00 00 00 00 | 0c 18 01 1c 03 00 00 18 |s.......|........|
|00001600| 4c 69 73 74 20 69 6e 20 | 4d 65 6d 62 65 72 20 44 |List in |Member D|
|00001610| 69 72 65 63 74 6f 72 79 | 00 08 00 00 00 00 00 00 |irectory|........|
|00001620| 0d 18 01 1c 03 00 00 18 | 52 65 63 65 69 76 65 20 |........|Receive |
|00001630| 50 72 6f 6d 6f 74 69 6f | 6e 61 6c 20 4d 61 69 6c |Promotio|nal Mail|
|00001640| 00 04 00 00 00 00 00 00 | 0e 18 01 1d 03 00 00 19 |........|........|
|00001650| 52 65 63 65 69 76 65 20 | 45 78 74 65 72 6e 61 6c |Receive |External|
|00001660| 20 4d 61 69 6c 69 6e 67 | 73 00 10 00 00 00 00 00 | Mailing|s.......|
|00001670| 00 11 16 03 0b 05 10 00 | 08 26 50 72 6f 63 65 65 |........|.&Procee|
|00001680| 64 00 00 00 00 00 00 00 | 11 2c 03 0b 05 20 00 07 |d.......|.,... ..|
|00001690| 26 43 61 6e 63 65 6c 00 | 00 00 00 00 00 00 4d 45 |&Cancel.|......ME|
|000016a0| 4d 42 45 52 00 45 00 7d | 02 ff 00 18 01 04 01 10 |MBER.E.}|........|
|000016b0| 50 00 00 00 00 00 00 00 | 00 00 00 00 06 03 01 0b |P.......|........|
|000016c0| 01 00 00 0c 26 46 69 72 | 73 74 20 4e 61 6d 65 3a |....&Fir|st Name:|
|000016d0| 00 00 00 00 00 00 00 06 | 0f 01 15 02 04 00 00 05 |........|........|
|000016e0| 00 00 00 00 00 00 07 03 | 01 0a 01 00 00 0b 26 4c |........|......&L|
|000016f0| 61 73 74 20 4e 61 6d 65 | 3a 00 00 00 00 00 00 00 |ast Name|:.......|
|00001700| 07 0f 01 1e 02 04 00 00 | 04 00 00 00 00 00 00 08 |........|........|
|00001710| 03 01 18 01 00 00 19 26 | 53 74 72 65 65 74 20 4e |.......&|Street N|
|00001720| 61 6d 65 20 61 6e 64 20 | 48 6f 75 73 65 20 23 3a |ame and |House #:|
|00001730| 00 00 00 00 00 00 00 09 | 03 01 1e 02 04 00 00 07 |........|........|
|00001740| 00 00 00 00 00 00 0a 03 | 01 05 01 00 00 06 26 43 |........|......&C|
|00001750| 69 74 79 3a 00 00 00 00 | 00 00 00 0a 09 01 1e 02 |ity:....|........|
|00001760| 04 00 00 09 00 00 00 00 | 00 00 0b 03 01 0a 01 00 |........|........|
|00001770| 00 0b 2a 26 50 6f 73 74 | 43 6f 64 65 3a 00 00 00 |..*&Post|Code:...|
|00001780| 00 00 00 00 0b 0e 01 0b | 02 00 00 00 0b 00 00 00 |........|........|
|00001790| 00 00 00 06 2f 01 0e 01 | 00 00 0f 2a 26 43 6f 6d |..../...|...*&Com|
|000017a0| 70 61 6e 79 20 4e 61 6d | 65 3a 00 00 00 00 00 00 |pany Nam|e:......|
|000017b0| 00 07 30 01 1e 02 00 00 | 00 06 00 00 00 00 00 00 |..0.....|........|
|000017c0| 08 30 01 11 01 00 00 12 | 26 45 76 65 6e 69 6e 67 |.0......|&Evening|
|000017d0| 20 50 68 6f 6e 65 20 4e | 6f 3a 00 00 00 00 00 00 | Phone N|o:......|
|000017e0| 00 08 41 01 0d 02 04 00 | 00 0e 00 00 00 00 00 00 |..A.....|........|
|000017f0| 09 2f 01 12 01 00 00 13 | 2a 26 44 61 79 74 69 6d |./......|*&Daytim|
|00001800| 65 20 50 68 6f 6e 65 20 | 4e 6f 3a 00 00 00 00 00 |e Phone |No:.....|
|00001810| 00 00 09 41 01 0d 02 00 | 00 00 0f 00 00 00 00 00 |...A....|........|
|00001820| 00 0d 04 01 13 01 00 00 | 13 42 49 4c 4c 49 4e 47 |........|.BILLING|
|00001830| 20 49 4e 46 4f 52 4d 41 | 54 49 4f 4e 00 00 00 00 | INFORMA|TION....|
|00001840| 00 00 00 0f 03 01 13 01 | 00 00 14 26 43 72 65 64 |........|...&Cred|
|00001850| 69 74 20 43 61 72 64 20 | 4e 75 6d 62 65 72 3a 00 |it Card |Number:.|
|00001860| 00 00 00 00 00 00 0f 17 | 01 14 02 04 00 00 13 00 |........|........|
|00001870| 00 00 00 00 00 10 03 01 | 17 01 00 00 18 26 45 78 |........|.....&Ex|
|00001880| 70 69 72 61 74 69 6f 6e | 20 44 61 74 65 20 28 39 |piration| Date (9|
|00001890| 2f 39 39 29 3a 00 00 00 | 00 00 00 00 10 1b 01 05 |/99):...|........|
|000018a0| 02 04 00 00 15 00 00 00 | 28 49 6e 76 61 6c 69 64 |........|(Invalid|
|000018b0| 20 45 78 70 69 72 61 74 | 69 6f 6e 20 44 61 74 65 | Expirat|ion Date|
|000018c0| 20 20 20 20 46 6f 72 6d | 61 74 3a 20 31 32 2f 39 |    Form|at: 12/9|
|000018d0| 39 00 00 0f 30 03 0b 05 | 10 00 0a 20 50 26 72 6f |9...0...|... P&ro|
|000018e0| 63 65 65 64 20 00 00 00 | 00 00 00 00 0f 40 03 0a |ceed ...|.....@..|
|000018f0| 05 20 00 07 26 43 61 6e | 63 65 6c 00 00 00 00 00 |. ..&Can|cel.....|
|00001900| 00 00 12 03 01 0c 01 00 | 00 0c 2a 20 3d 20 4f 70 |........|..* = Op|
|00001910| 74 69 6f 6e 61 6c 00 00 | 00 00 00 00 00 43 52 45 |tional..|.....CRE|
|00001920| 44 49 43 52 44 00 64 01 | ff 00 09 01 03 08 12 3c |DICRD.d.|.......<|
|00001930| 00 00 00 00 00 00 00 00 | 00 00 00 05 19 01 17 03 |........|........|
|00001940| 00 00 13 43 6f 6d 70 75 | 53 65 72 76 65 20 4d 61 |...Compu|Serve Ma|
|00001950| 67 61 7a 69 6e 65 00 01 | 00 00 00 00 00 00 07 17 |gazine..|........|
|00001960| 01 1e 01 00 00 1e 52 65 | 63 65 69 76 65 20 61 20 |......Re|ceive a |
|00001970| 66 72 65 65 20 73 75 62 | 73 63 72 69 70 74 69 6f |free sub|scriptio|
|00001980| 6e 20 74 6f 00 00 00 00 | 00 00 00 08 17 01 20 01 |n to....|...... .|
|00001990| 00 00 20 74 68 65 20 6d | 6f 6e 74 68 6c 79 20 43 |.. the m|onthly C|
|000019a0| 6f 6d 70 75 53 65 72 76 | 65 20 4d 61 67 61 7a 69 |ompuServ|e Magazi|
|000019b0| 6e 65 2e 00 00 00 00 00 | 00 00 0b 16 05 21 06 00 |ne......|.....!..|
|000019c0| 00 14 4f 74 68 65 72 20 | 4d 65 6d 62 65 72 20 4f |..Other |Member O|
|000019d0| 70 74 69 6f 6e 73 00 00 | 00 00 00 00 00 0c 18 01 |ptions..|........|
|000019e0| 1c 03 00 00 18 4c 69 73 | 74 20 69 6e 20 4d 65 6d |.....Lis|t in Mem|
|000019f0| 62 65 72 20 44 69 72 65 | 63 74 6f 72 79 00 08 00 |ber Dire|ctory...|
|00001a00| 00 00 00 00 00 0d 18 01 | 1c 03 00 00 18 52 65 63 |........|.....Rec|
|00001a10| 65 69 76 65 20 50 72 6f | 6d 6f 74 69 6f 6e 61 6c |eive Pro|motional|
|00001a20| 20 4d 61 69 6c 00 04 00 | 00 00 00 00 00 0e 18 01 | Mail...|........|
|00001a30| 1d 03 00 00 19 52 65 63 | 65 69 76 65 20 45 78 74 |.....Rec|eive Ext|
|00001a40| 65 72 6e 61 6c 20 4d 61 | 69 6c 69 6e 67 73 00 10 |ernal Ma|ilings..|
|00001a50| 00 00 00 00 00 00 11 16 | 03 0b 05 10 00 08 26 50 |........|......&P|
|00001a60| 72 6f 63 65 65 64 00 00 | 00 00 00 00 00 11 2c 03 |roceed..|......,.|
|00001a70| 0b 05 20 00 07 26 43 61 | 6e 63 65 6c 00 00 00 00 |.. ..&Ca|ncel....|
|00001a80| 00 00 00 4d 45 4d 42 45 | 52 00 44 00 a6 02 ff 00 |...MEMBE|R.D.....|
|00001a90| 1a 01 04 01 10 50 00 00 | 00 00 00 00 00 00 00 00 |.....P..|........|
|00001aa0| 00 06 03 01 0b 01 00 00 | 0c 26 46 69 72 73 74 20 |........|.&First |
|00001ab0| 4e 61 6d 65 3a 00 00 00 | 00 00 00 00 06 0f 01 15 |Name:...|........|
|00001ac0| 02 04 00 00 05 00 00 00 | 00 00 00 07 03 01 0a 01 |........|........|
|00001ad0| 00 00 0b 26 4c 61 73 74 | 20 4e 61 6d 65 3a 00 00 |...&Last| Name:..|
|00001ae0| 00 00 00 00 00 07 0f 01 | 1e 02 04 00 00 04 00 00 |........|........|
|00001af0| 00 00 00 00 08 03 01 18 | 01 00 00 19 26 53 74 72 |........|....&Str|
|00001b00| 65 65 74 20 4e 61 6d 65 | 20 61 6e 64 20 48 6f 75 |eet Name| and Hou|
|00001b10| 73 65 20 23 3a 00 00 00 | 00 00 00 00 09 03 01 1e |se #:...|........|
|00001b20| 02 04 00 00 07 00 00 00 | 00 00 00 0a 03 01 05 01 |........|........|
|00001b30| 00 00 06 26 43 69 74 79 | 3a 00 00 00 00 00 00 00 |...&City|:.......|
|00001b40| 0a 09 01 1e 02 04 00 00 | 09 00 00 00 00 00 00 0b |........|........|
|00001b50| 03 01 06 01 00 00 07 26 | 53 74 61 74 65 3a 00 00 |.......&|State:..|
|00001b60| 00 00 00 00 00 0b 0a 01 | 03 02 04 00 00 0a 00 00 |........|........|
|00001b70| 00 00 00 00 0b 10 01 07 | 01 00 00 08 26 50 6f 73 |........|....&Pos|
|00001b80| 74 61 6c 3a 00 00 00 00 | 00 00 00 0b 18 01 04 02 |tal:....|........|
|00001b90| 04 00 00 0b 00 01 00 00 | 01 00 06 3c 4e 4e 4e 4e |........|...<NNNN|
|00001ba0| 3e 06 2f 01 0e 01 00 00 | 0f 2a 26 43 6f 6d 70 61 |>./.....|.*&Compa|
|00001bb0| 6e 79 20 4e 61 6d 65 3a | 00 00 00 00 00 00 00 07 |ny Name:|........|
|00001bc0| 30 01 1e 02 00 00 00 06 | 00 00 00 00 00 00 08 30 |0.......|.......0|
|00001bd0| 01 11 01 00 00 12 26 45 | 76 65 6e 69 6e 67 20 50 |......&E|vening P|
|00001be0| 68 6f 6e 65 20 4e 6f 3a | 00 00 00 00 00 00 00 08 |hone No:|........|
|00001bf0| 41 01 0d 02 04 00 00 0e | 00 00 00 00 00 00 09 2f |A.......|......./|
|00001c00| 01 12 01 00 00 13 2a 26 | 44 61 79 74 69 6d 65 20 |......*&|Daytime |
|00001c10| 50 68 6f 6e 65 20 4e 6f | 3a 00 00 00 00 00 00 00 |Phone No|:.......|
|00001c20| 09 41 01 0d 02 00 00 00 | 0f 00 00 00 00 00 00 0d |.A......|........|
|00001c30| 04 01 13 01 00 00 13 42 | 49 4c 4c 49 4e 47 20 49 |.......B|ILLING I|
|00001c40| 4e 46 4f 52 4d 41 54 49 | 4f 4e 00 00 00 00 00 00 |NFORMATI|ON......|
|00001c50| 00 0f 03 01 13 01 00 00 | 14 26 43 72 65 64 69 74 |........|.&Credit|
|00001c60| 20 43 61 72 64 20 4e 75 | 6d 62 65 72 3a 00 00 00 | Card Nu|mber:...|
|00001c70| 00 00 00 00 0f 17 01 14 | 02 04 00 00 13 00 00 00 |........|........|
|00001c80| 00 00 00 10 03 01 17 01 | 00 00 18 26 45 78 70 69 |........|...&Expi|
|00001c90| 72 61 74 69 6f 6e 20 44 | 61 74 65 20 28 39 2f 39 |ration D|ate (9/9|
|00001ca0| 39 29 3a 00 00 00 00 00 | 00 00 10 1b 01 05 02 04 |9):.....|........|
|00001cb0| 00 00 15 00 00 00 28 49 | 6e 76 61 6c 69 64 20 45 |......(I|nvalid E|
|00001cc0| 78 70 69 72 61 74 69 6f | 6e 20 44 61 74 65 20 20 |xpiratio|n Date  |
|00001cd0| 20 20 46 6f 72 6d 61 74 | 3a 20 31 32 2f 39 39 00 |  Format|: 12/99.|
|00001ce0| 00 0f 30 03 0b 05 10 00 | 0a 20 50 26 72 6f 63 65 |..0.....|. P&roce|
|00001cf0| 65 64 20 00 00 00 00 00 | 00 00 0f 40 03 0a 05 20 |ed .....|...@... |
|00001d00| 00 07 26 43 61 6e 63 65 | 6c 00 00 00 00 00 00 00 |..&Cance|l.......|
|00001d10| 12 03 01 0c 01 00 00 0c | 2a 20 3d 20 4f 70 74 69 |........|* = Opti|
|00001d20| 6f 6e 61 6c 00 00 00 00 | 00 00 00 43 52 45 44 49 |onal....|...CREDI|
|00001d30| 43 52 44 00 64 01 ff 00 | 09 01 03 08 12 3c 00 00 |CRD.d...|.....<..|
|00001d40| 00 00 00 00 00 00 00 00 | 00 05 19 01 17 03 00 00 |........|........|
|00001d50| 13 43 6f 6d 70 75 53 65 | 72 76 65 20 4d 61 67 61 |.CompuSe|rve Maga|
|00001d60| 7a 69 6e 65 00 01 00 00 | 00 00 00 00 07 17 01 1e |zine....|........|
|00001d70| 01 00 00 1e 52 65 63 65 | 69 76 65 20 61 20 66 72 |....Rece|ive a fr|
|00001d80| 65 65 20 73 75 62 73 63 | 72 69 70 74 69 6f 6e 20 |ee subsc|ription |
|00001d90| 74 6f 00 00 00 00 00 00 | 00 08 17 01 20 01 00 00 |to......|.... ...|
|00001da0| 20 74 68 65 20 6d 6f 6e | 74 68 6c 79 20 43 6f 6d | the mon|thly Com|
|00001db0| 70 75 53 65 72 76 65 20 | 4d 61 67 61 7a 69 6e 65 |puServe |Magazine|
|00001dc0| 2e 00 00 00 00 00 00 00 | 0b 16 05 21 06 00 00 14 |........|...!....|
|00001dd0| 4f 74 68 65 72 20 4d 65 | 6d 62 65 72 20 4f 70 74 |Other Me|mber Opt|
|00001de0| 69 6f 6e 73 00 00 00 00 | 00 00 00 0c 18 01 1c 03 |ions....|........|
|00001df0| 00 00 18 4c 69 73 74 20 | 69 6e 20 4d 65 6d 62 65 |...List |in Membe|
|00001e00| 72 20 44 69 72 65 63 74 | 6f 72 79 00 08 00 00 00 |r Direct|ory.....|
|00001e10| 00 00 00 0d 18 01 1c 03 | 00 00 18 52 65 63 65 69 |........|...Recei|
|00001e20| 76 65 20 50 72 6f 6d 6f | 74 69 6f 6e 61 6c 20 4d |ve Promo|tional M|
|00001e30| 61 69 6c 00 04 00 00 00 | 00 00 00 0e 18 01 1d 03 |ail.....|........|
|00001e40| 00 00 19 52 65 63 65 69 | 76 65 20 45 78 74 65 72 |...Recei|ve Exter|
|00001e50| 6e 61 6c 20 4d 61 69 6c | 69 6e 67 73 00 10 00 00 |nal Mail|ings....|
|00001e60| 00 00 00 00 11 16 03 0b | 05 10 00 08 26 50 72 6f |........|....&Pro|
|00001e70| 63 65 65 64 00 00 00 00 | 00 00 00 11 2c 03 0b 05 |ceed....|....,...|
|00001e80| 20 00 07 26 43 61 6e 63 | 65 6c 00 00 00 00 00 00 | ..&Canc|el......|
|00001e90| 00 4d 45 4d 42 45 52 00 | 44 00 7c 02 ff 00 18 01 |.MEMBER.|D.|.....|
|00001ea0| 04 01 10 50 00 00 00 00 | 00 00 00 00 00 00 00 06 |...P....|........|
|00001eb0| 03 01 0b 01 00 00 0c 26 | 46 69 72 73 74 20 4e 61 |.......&|First Na|
|00001ec0| 6d 65 3a 00 00 00 00 00 | 00 00 06 0f 01 15 02 04 |me:.....|........|
|00001ed0| 00 00 05 00 00 00 00 00 | 00 07 03 01 0a 01 00 00 |........|........|
|00001ee0| 0b 26 4c 61 73 74 20 4e | 61 6d 65 3a 00 00 00 00 |.&Last N|ame:....|
|00001ef0| 00 00 00 07 0f 01 1e 02 | 04 00 00 04 00 00 00 00 |........|........|
|00001f00| 00 00 08 03 01 18 01 00 | 00 19 26 53 74 72 65 65 |........|..&Stree|
|00001f10| 74 20 4e 61 6d 65 20 61 | 6e 64 20 48 6f 75 73 65 |t Name a|nd House|
|00001f20| 20 23 3a 00 00 00 00 00 | 00 00 09 03 01 1e 02 04 | #:.....|........|
|00001f30| 00 00 07 00 00 00 00 00 | 00 0a 03 01 05 01 00 00 |........|........|
|00001f40| 06 26 43 69 74 79 3a 00 | 00 00 00 00 00 00 0a 09 |.&City:.|........|
|00001f50| 01 1e 02 04 00 00 09 00 | 00 00 00 00 00 0b 03 01 |........|........|
|00001f60| 09 01 00 00 0a 26 50 6f | 73 74 43 6f 64 65 3a 00 |.....&Po|stCode:.|
|00001f70| 00 00 00 00 00 00 0b 0d | 01 0b 02 04 00 00 0b 00 |........|........|
|00001f80| 00 00 00 00 00 06 2f 01 | 0e 01 00 00 0f 2a 26 43 |....../.|.....*&C|
|00001f90| 6f 6d 70 61 6e 79 20 4e | 61 6d 65 3a 00 00 00 00 |ompany N|ame:....|
|00001fa0| 00 00 00 07 30 01 1e 02 | 00 00 00 06 00 00 00 00 |....0...|........|
|00001fb0| 00 00 08 30 01 11 01 00 | 00 12 26 45 76 65 6e 69 |...0....|..&Eveni|
|00001fc0| 6e 67 20 50 68 6f 6e 65 | 20 4e 6f 3a 00 00 00 00 |ng Phone| No:....|
|00001fd0| 00 00 00 08 41 01 0d 02 | 04 00 00 0e 00 00 00 00 |....A...|........|
|00001fe0| 00 00 09 2f 01 12 01 00 | 00 13 2a 26 44 61 79 74 |.../....|..*&Dayt|
|00001ff0| 69 6d 65 20 50 68 6f 6e | 65 20 4e 6f 3a 00 00 00 |ime Phon|e No:...|
|00002000| 00 00 00 00 09 41 01 0d | 02 00 00 00 0f 00 00 00 |.....A..|........|
|00002010| 00 00 00 0d 04 01 13 01 | 00 00 13 42 49 4c 4c 49 |........|...BILLI|
|00002020| 4e 47 20 49 4e 46 4f 52 | 4d 41 54 49 4f 4e 00 00 |NG INFOR|MATION..|
|00002030| 00 00 00 00 00 0f 04 01 | 13 01 00 00 14 26 43 72 |........|.....&Cr|
|00002040| 65 64 69 74 20 43 61 72 | 64 20 4e 75 6d 62 65 72 |edit Car|d Number|
|00002050| 3a 00 00 00 00 00 00 00 | 0f 18 01 14 02 04 00 00 |:.......|........|
|00002060| 13 00 00 00 00 00 00 10 | 04 01 17 01 00 00 18 26 |........|.......&|
|00002070| 45 78 70 69 72 61 74 69 | 6f 6e 20 44 61 74 65 20 |Expirati|on Date |
|00002080| 28 39 2f 39 39 29 3a 00 | 00 00 00 00 00 00 10 1c |(9/99):.|........|
|00002090| 01 05 02 04 00 00 15 00 | 00 00 28 49 6e 76 61 6c |........|..(Inval|
|000020a0| 69 64 20 45 78 70 69 72 | 61 74 69 6f 6e 20 44 61 |id Expir|ation Da|
|000020b0| 74 65 20 20 20 20 46 6f | 72 6d 61 74 3a 20 31 32 |te    Fo|rmat: 12|
|000020c0| 2f 39 39 00 00 0f 30 03 | 0b 05 10 00 0a 20 50 26 |/99...0.|..... P&|
|000020d0| 72 6f 63 65 65 64 20 00 | 00 00 00 00 00 00 0f 40 |roceed .|.......@|
|000020e0| 03 0a 05 20 00 07 26 43 | 61 6e 63 65 6c 00 00 00 |... ..&C|ancel...|
|000020f0| 00 00 00 00 12 04 01 0c | 01 00 00 0c 2a 20 3d 20 |........|....* = |
|00002100| 4f 70 74 69 6f 6e 61 6c | 00 00 00 00 00 00 00 43 |Optional|.......C|
|00002110| 52 45 44 49 43 52 44 00 | 64 01 ff 00 09 01 03 08 |REDICRD.|d.......|
|00002120| 12 3c 00 00 00 00 00 00 | 00 00 00 00 00 05 19 01 |.<......|........|
|00002130| 17 03 00 00 13 43 6f 6d | 70 75 53 65 72 76 65 20 |.....Com|puServe |
|00002140| 4d 61 67 61 7a 69 6e 65 | 00 01 00 00 00 00 00 00 |Magazine|........|
|00002150| 07 17 01 1e 01 00 00 1e | 52 65 63 65 69 76 65 20 |........|Receive |
|00002160| 61 20 66 72 65 65 20 73 | 75 62 73 63 72 69 70 74 |a free s|ubscript|
|00002170| 69 6f 6e 20 74 6f 00 00 | 00 00 00 00 00 08 17 01 |ion to..|........|
|00002180| 20 01 00 00 20 74 68 65 | 20 6d 6f 6e 74 68 6c 79 | ... the| monthly|
|00002190| 20 43 6f 6d 70 75 53 65 | 72 76 65 20 4d 61 67 61 | CompuSe|rve Maga|
|000021a0| 7a 69 6e 65 2e 00 00 00 | 00 00 00 00 0b 16 05 21 |zine....|.......!|
|000021b0| 06 00 00 14 4f 74 68 65 | 72 20 4d 65 6d 62 65 72 |....Othe|r Member|
|000021c0| 20 4f 70 74 69 6f 6e 73 | 00 00 00 00 00 00 00 0c | Options|........|
|000021d0| 18 01 1c 03 00 00 18 4c | 69 73 74 20 69 6e 20 4d |.......L|ist in M|
|000021e0| 65 6d 62 65 72 20 44 69 | 72 65 63 74 6f 72 79 00 |ember Di|rectory.|
|000021f0| 08 00 00 00 00 00 00 0d | 18 01 1c 03 00 00 18 52 |........|.......R|
|00002200| 65 63 65 69 76 65 20 50 | 72 6f 6d 6f 74 69 6f 6e |eceive P|romotion|
|00002210| 61 6c 20 4d 61 69 6c 00 | 04 00 00 00 00 00 00 0e |al Mail.|........|
|00002220| 18 01 1d 03 00 00 19 52 | 65 63 65 69 76 65 20 45 |.......R|eceive E|
|00002230| 78 74 65 72 6e 61 6c 20 | 4d 61 69 6c 69 6e 67 73 |xternal |Mailings|
|00002240| 00 10 00 00 00 00 00 00 | 11 16 03 0b 05 10 00 08 |........|........|
|00002250| 26 50 72 6f 63 65 65 64 | 00 00 00 00 00 00 00 11 |&Proceed|........|
|00002260| 2c 03 0b 05 20 00 07 26 | 43 61 6e 63 65 6c 00 00 |,... ..&|Cancel..|
|00002270| 00 00 00 00 00 4d 45 4d | 42 45 52 00 44 00 a2 03 |.....MEM|BER.D...|
|00002280| ff 00 28 01 04 01 12 50 | 00 00 00 00 00 00 00 00 |..(....P|........|
|00002290| 00 00 00 05 03 01 0b 01 | 00 00 0c 26 46 69 72 73 |........|...&Firs|
|000022a0| 74 20 4e 61 6d 65 3a 00 | 00 00 00 00 00 00 05 0f |t Name:.|........|
|000022b0| 01 15 02 04 00 00 05 00 | 00 00 00 00 00 06 03 01 |........|........|
|000022c0| 0a 01 00 00 0b 26 4c 61 | 73 74 20 4e 61 6d 65 3a |.....&La|st Name:|
|000022d0| 00 00 00 00 00 00 00 06 | 0e 01 1e 02 04 00 00 04 |........|........|
|000022e0| 00 00 00 00 00 00 07 03 | 01 18 01 00 00 19 26 53 |........|......&S|
|000022f0| 74 72 65 65 74 20 4e 61 | 6d 65 20 61 6e 64 20 48 |treet Na|me and H|
|00002300| 6f 75 73 65 20 23 3a 00 | 00 00 00 00 00 00 08 03 |ouse #:.|........|
|00002310| 01 1e 02 04 00 00 07 00 | 00 00 00 00 00 09 03 01 |........|........|
|00002320| 09 01 00 00 0a 26 50 6f | 73 74 43 6f 64 65 3a 00 |.....&Po|stCode:.|
|00002330| 00 00 00 00 00 00 09 0d | 01 0b 02 04 00 00 0b 00 |........|........|
|00002340| 00 00 00 00 00 0a 03 01 | 0a 01 00 00 0b 26 54 6f |........|.....&To|
|00002350| 77 6e 2f 43 69 74 79 3a | 00 00 00 00 00 00 00 0a |wn/City:|........|
|00002360| 0e 01 1e 02 04 00 00 09 | 00 00 00 00 00 00 05 30 |........|.......0|
|00002370| 01 0d 01 00 00 0e 26 43 | 6f 6d 70 61 6e 79 20 4e |......&C|ompany N|
|00002380| 61 6d 65 3a 00 00 00 00 | 00 00 00 06 30 01 1e 02 |ame:....|....0...|
|00002390| 04 00 00 06 00 00 00 00 | 00 00 07 2f 01 1b 01 00 |........|.../....|
|000023a0| 00 1c 2a 26 44 69 76 69 | 73 69 6f 6e 20 6f 72 20 |..*&Divi|sion or |
|000023b0| 53 75 62 73 69 64 69 61 | 72 79 20 6f 66 3a 00 00 |Subsidia|ry of:..|
|000023c0| 00 00 00 00 00 08 30 01 | 1e 02 00 00 00 1c 00 00 |......0.|........|
|000023d0| 00 00 00 00 09 30 01 11 | 01 00 00 12 26 45 76 65 |.....0..|....&Eve|
|000023e0| 6e 69 6e 67 20 50 68 6f | 6e 65 20 4e 72 3a 00 00 |ning Pho|ne Nr:..|
|000023f0| 00 00 00 00 00 09 42 01 | 0d 02 04 00 00 0e 00 00 |......B.|........|
|00002400| 00 00 00 00 0a 30 01 11 | 01 00 00 12 26 44 61 79 |.....0..|....&Day|
|00002410| 74 69 6d 65 20 50 68 6f | 6e 65 20 4e 72 3a 00 00 |time Pho|ne Nr:..|
|00002420| 00 00 00 00 00 0a 42 01 | 0d 02 04 00 00 0f 00 00 |......B.|........|
|00002430| 00 00 00 00 0c 10 01 0e | 01 00 00 0e 42 61 6e 6b |........|....Bank|
|00002440| 20 52 65 66 65 72 65 6e | 63 65 00 00 00 00 00 00 | Referen|ce......|
|00002450| 00 0d 03 01 0a 01 00 00 | 0b 26 42 61 6e 6b 20 4e |........|.&Bank N|
|00002460| 61 6d 65 3a 00 00 00 00 | 00 00 00 0d 0e 01 1e 02 |ame:....|........|
|00002470| 04 00 00 14 00 00 00 00 | 00 00 0e 03 01 18 01 00 |........|........|
|00002480| 00 19 26 53 74 72 65 65 | 74 20 4e 61 6d 65 20 61 |..&Stree|t Name a|
|00002490| 6e 64 20 48 6f 75 73 65 | 20 23 3a 00 00 00 00 00 |nd House| #:.....|
|000024a0| 00 00 0f 03 01 1e 02 04 | 00 00 2a 00 00 00 00 00 |........|..*.....|
|000024b0| 00 10 03 01 09 01 00 00 | 0a 26 50 6f 73 74 43 6f |........|.&PostCo|
|000024c0| 64 65 3a 00 00 00 00 00 | 00 00 10 0d 01 0b 02 04 |de:.....|........|
|000024d0| 00 00 2d 00 00 00 00 00 | 00 11 03 01 0a 01 00 00 |..-.....|........|
|000024e0| 0b 26 54 6f 77 6e 2f 43 | 69 74 79 3a 00 00 00 00 |.&Town/C|ity:....|
|000024f0| 00 00 00 11 0e 01 1e 02 | 04 00 00 2b 00 00 00 00 |........|...+....|
|00002500| 00 00 12 03 01 10 01 00 | 00 11 26 42 61 6e 6b 20 |........|..&Bank |
|00002510| 43 6f 64 65 20 28 42 4c | 5a 29 3a 00 00 00 00 00 |Code (BL|Z):.....|
|00002520| 00 00 12 14 01 0f 02 04 | 00 00 81 00 00 14 00 00 |........|........|
|00002530| 00 13 03 01 0a 01 00 00 | 0b 26 41 63 63 74 2e 20 |........|.&Acct. |
|00002540| 4e 6f 2e 3a 00 00 00 00 | 00 00 00 13 0e 01 14 02 |No.:....|........|
|00002550| 04 00 00 13 00 00 00 00 | 00 00 0d 31 01 07 01 00 |........|...1....|
|00002560| 00 08 2a 26 50 68 6f 6e | 65 3a 00 00 00 00 00 00 |..*&Phon|e:......|
|00002570| 00 0d 39 01 0d 02 00 00 | 00 30 00 00 00 00 00 00 |..9.....|.0......|
|00002580| 0e 31 01 08 01 00 00 09 | 2a 26 42 72 61 6e 63 68 |.1......|*&Branch|
|00002590| 3a 00 00 00 00 00 00 00 | 0f 31 01 1e 02 00 00 00 |:.......|.1......|
|000025a0| 2e 00 00 00 00 00 00 10 | 31 01 09 01 00 00 0a 2a |........|1......*|
|000025b0| 26 43 6f 6e 74 61 63 74 | 3a 00 00 00 00 00 00 00 |&Contact|:.......|
|000025c0| 11 31 01 1e 02 00 00 00 | 2f 00 00 00 00 00 00 12 |.1......|/.......|
|000025d0| 31 03 0b 05 10 00 0a 20 | 50 26 72 6f 63 65 65 64 |1...... |P&roceed|
|000025e0| 20 00 00 00 00 00 00 00 | 12 41 03 0a 05 20 00 07 | .......|.A... ..|
|000025f0| 26 43 61 6e 63 65 6c 00 | 00 00 00 00 00 00 14 03 |&Cancel.|........|
|00002600| 01 0c 01 00 00 0c 2a 20 | 3d 20 4f 70 74 69 6f 6e |......* |= Option|
|00002610| 61 6c 00 00 00 00 00 00 | 00 43 42 41 31 00 52 00 |al......|.CBA1.R.|
|00002620| 44 00 16 03 ff 00 1e 1c | 04 01 12 50 00 00 00 00 |D.......|...P....|
|00002630| 00 00 00 00 00 00 00 05 | 04 01 21 01 00 00 21 41 |........|..!...!A|
|00002640| 44 4d 49 4e 49 53 54 52 | 41 54 4f 52 20 41 43 43 |DMINISTR|ATOR ACC|
|00002650| 4f 55 4e 54 20 49 4e 46 | 4f 52 4d 41 54 49 4f 4e |OUNT INF|ORMATION|
|00002660| 00 00 00 00 00 00 00 07 | 03 01 0b 01 00 00 0c 26 |........|.......&|
|00002670| 46 69 72 73 74 20 4e 61 | 6d 65 3a 00 00 00 00 00 |First Na|me:.....|
|00002680| 00 00 07 0f 01 15 02 04 | 00 00 1e 00 00 00 00 00 |........|........|
|00002690| 00 08 03 01 0a 01 00 00 | 0b 26 4c 61 73 74 20 4e |........|.&Last N|
|000026a0| 61 6d 65 3a 00 00 00 00 | 00 00 00 08 0e 01 1e 02 |ame:....|........|
|000026b0| 04 00 00 1d 00 00 00 00 | 00 00 09 03 01 18 01 00 |........|........|
|000026c0| 00 19 26 53 74 72 65 65 | 74 20 4e 61 6d 65 20 61 |..&Stree|t Name a|
|000026d0| 6e 64 20 48 6f 75 73 65 | 20 23 3a 00 00 00 00 00 |nd House| #:.....|
|000026e0| 00 00 0a 03 01 1e 02 04 | 00 00 1f 00 00 00 00 00 |........|........|
|000026f0| 00 0b 03 01 09 01 00 00 | 0a 26 50 6f 73 74 43 6f |........|.&PostCo|
|00002700| 64 65 3a 00 00 00 00 00 | 00 00 0b 0d 01 0b 02 04 |de:.....|........|
|00002710| 00 00 22 00 00 00 13 49 | 6e 76 61 6c 69 64 20 50 |.."....I|nvalid P|
|00002720| 6f 73 74 61 6c 20 43 6f | 64 65 00 00 0c 03 01 0a |ostal Co|de......|
|00002730| 01 00 00 0b 26 54 6f 77 | 6e 2f 43 69 74 79 3a 00 |....&Tow|n/City:.|
|00002740| 00 00 00 00 00 00 0c 0e | 01 1e 02 04 00 00 20 00 |........|...... .|
|00002750| 00 00 00 00 00 07 2e 01 | 12 01 00 00 13 2a 26 50 |........|.....*&P|
|00002760| 75 72 63 68 61 73 65 20 | 4f 72 64 65 72 20 23 3a |urchase |Order #:|
|00002770| 00 00 00 00 00 00 00 07 | 41 01 0f 02 00 00 00 25 |........|A......%|
|00002780| 00 00 00 00 00 00 08 2f | 01 15 01 00 00 16 26 43 |......./|......&C|
|00002790| 6f 6d 70 61 6e 79 20 52 | 65 67 2e 20 23 20 28 48 |ompany R|eg. # (H|
|000027a0| 52 42 29 3a 00 00 00 00 | 00 00 00 08 45 01 08 02 |RB):....|....E...|
|000027b0| 04 00 00 80 00 00 00 00 | 00 00 09 2f 01 09 01 00 |........|.../....|
|000027c0| 00 0a 26 50 68 6f 6e 65 | 20 4e 72 3a 00 00 00 00 |..&Phone| Nr:....|
|000027d0| 00 00 00 09 39 01 0d 02 | 04 00 00 23 00 00 00 00 |....9...|...#....|
|000027e0| 00 00 0e 08 05 17 06 00 | 00 12 20 46 6f 72 6d 20 |........|.. Form |
|000027f0| 6f 66 20 42 75 73 69 6e | 65 73 73 20 00 00 00 00 |of Busin|ess ....|
|00002800| 00 00 00 0f 09 01 13 04 | 02 00 0f 53 6f 6c 65 20 |........|...Sole |
|00002810| 50 72 6f 70 72 69 65 74 | 6f 72 26 01 00 00 00 00 |Propriet|or&.....|
|00002820| 00 00 10 09 01 0f 04 00 | 00 0b 43 6f 72 70 6f 72 |........|..Corpor|
|00002830| 61 74 69 6f 6e 26 02 00 | 00 00 00 00 00 11 09 01 |ation&..|........|
|00002840| 0f 04 80 00 0b 50 61 72 | 74 6e 65 72 73 68 69 70 |.....Par|tnership|
|00002850| 26 03 00 00 00 00 00 00 | 0d 2e 01 11 01 00 00 12 |&.......|........|
|00002860| 26 4b 69 6e 64 20 6f 66 | 20 42 75 73 69 6e 65 73 |&Kind of| Busines|
|00002870| 73 3a 00 00 00 00 00 00 | 00 0e 2e 01 1e 02 04 00 |s:......|........|
|00002880| 00 28 00 00 00 00 00 00 | 0f 2e 01 14 01 00 00 15 |.(......|........|
|00002890| 26 4e 75 6d 62 65 72 20 | 6f 66 20 45 6d 70 6c 6f |&Number |of Emplo|
|000028a0| 79 65 65 73 3a 00 00 00 | 00 00 00 00 0f 43 01 05 |yees:...|.....C..|
|000028b0| 02 04 00 00 29 00 01 00 | 00 00 00 10 2e 01 0d 01 |....)...|........|
|000028c0| 00 00 0e 26 44 61 74 65 | 20 53 74 61 72 74 65 64 |...&Date| Started|
|000028d0| 3a 00 00 00 00 00 00 00 | 10 3c 01 08 02 04 00 00 |:.......|.<......|
|000028e0| 27 00 00 00 00 00 00 12 | 31 03 0b 05 10 00 0a 20 |'.......|1...... |
|000028f0| 50 26 72 6f 63 65 65 64 | 20 00 00 00 00 00 00 00 |P&roceed| .......|
|00002900| 12 3f 03 0a 05 20 00 07 | 26 43 61 6e 63 65 6c 00 |.?... ..|&Cancel.|
|00002910| 00 00 00 00 00 00 14 03 | 01 0c 01 00 00 0c 2a 20 |........|......* |
|00002920| 3d 20 4f 70 74 69 6f 6e | 61 6c 00 00 00 00 00 00 |= Option|al......|
|00002930| 00 43 42 41 32 00 52 00 | 44 00 64 01 ff 00 09 01 |.CBA2.R.|D.d.....|
|00002940| 03 08 12 3c 00 00 00 00 | 00 00 00 00 00 00 00 05 |...<....|........|
|00002950| 19 01 17 03 00 00 13 43 | 6f 6d 70 75 53 65 72 76 |.......C|ompuServ|
|00002960| 65 20 4d 61 67 61 7a 69 | 6e 65 00 01 00 00 00 00 |e Magazi|ne......|
|00002970| 00 00 07 17 01 1e 01 00 | 00 1e 52 65 63 65 69 76 |........|..Receiv|
|00002980| 65 20 61 20 66 72 65 65 | 20 73 75 62 73 63 72 69 |e a free| subscri|
|00002990| 70 74 69 6f 6e 20 74 6f | 00 00 00 00 00 00 00 08 |ption to|........|
|000029a0| 17 01 20 01 00 00 20 74 | 68 65 20 6d 6f 6e 74 68 |.. ... t|he month|
|000029b0| 6c 79 20 43 6f 6d 70 75 | 53 65 72 76 65 20 4d 61 |ly Compu|Serve Ma|
|000029c0| 67 61 7a 69 6e 65 2e 00 | 00 00 00 00 00 00 0b 16 |gazine..|........|
|000029d0| 05 21 06 00 00 14 4f 74 | 68 65 72 20 4d 65 6d 62 |.!....Ot|her Memb|
|000029e0| 65 72 20 4f 70 74 69 6f | 6e 73 00 00 00 00 00 00 |er Optio|ns......|
|000029f0| 00 0c 18 01 1c 03 00 00 | 18 4c 69 73 74 20 69 6e |........|.List in|
|00002a00| 20 4d 65 6d 62 65 72 20 | 44 69 72 65 63 74 6f 72 | Member |Director|
|00002a10| 79 00 08 00 00 00 00 00 | 00 0d 18 01 1c 03 00 00 |y.......|........|
|00002a20| 18 52 65 63 65 69 76 65 | 20 50 72 6f 6d 6f 74 69 |.Receive| Promoti|
|00002a30| 6f 6e 61 6c 20 4d 61 69 | 6c 00 04 00 00 00 00 00 |onal Mai|l.......|
|00002a40| 00 0e 18 01 1d 03 00 00 | 19 52 65 63 65 69 76 65 |........|.Receive|
|00002a50| 20 45 78 74 65 72 6e 61 | 6c 20 4d 61 69 6c 69 6e | Externa|l Mailin|
|00002a60| 67 73 00 10 00 00 00 00 | 00 00 11 16 03 0b 05 10 |gs......|........|
|00002a70| 00 08 26 50 72 6f 63 65 | 65 64 00 00 00 00 00 00 |..&Proce|ed......|
|00002a80| 00 11 2c 03 0b 05 20 00 | 07 26 43 61 6e 63 65 6c |..,... .|.&Cancel|
|00002a90| 00 00 00 00 00 00 00 4d | 45 4d 42 45 52 00 44 00 |.......M|EMBER.D.|
|00002aa0| 7c 02 ff 00 18 01 04 01 | 10 50 00 00 00 00 00 00 ||.......|.P......|
|00002ab0| 00 00 00 00 00 06 03 01 | 0b 01 00 00 0c 26 46 69 |........|.....&Fi|
|00002ac0| 72 73 74 20 4e 61 6d 65 | 3a 00 00 00 00 00 00 00 |rst Name|:.......|
|00002ad0| 06 0f 01 15 02 04 00 00 | 05 00 00 00 00 00 00 07 |........|........|
|00002ae0| 03 01 0a 01 00 00 0b 26 | 4c 61 73 74 20 4e 61 6d |.......&|Last Nam|
|00002af0| 65 3a 00 00 00 00 00 00 | 00 07 0f 01 1e 02 04 00 |e:......|........|
|00002b00| 00 04 00 00 00 00 00 00 | 08 03 01 18 01 00 00 19 |........|........|
|00002b10| 26 53 74 72 65 65 74 20 | 4e 61 6d 65 20 61 6e 64 |&Street |Name and|
|00002b20| 20 48 6f 75 73 65 20 23 | 3a 00 00 00 00 00 00 00 | House #|:.......|
|00002b30| 09 03 01 1e 02 04 00 00 | 07 00 00 00 00 00 00 0a |........|........|
|00002b40| 03 01 05 01 00 00 06 26 | 43 69 74 79 3a 00 00 00 |.......&|City:...|
|00002b50| 00 00 00 00 0a 09 01 1e | 02 04 00 00 09 00 00 00 |........|........|
|00002b60| 00 00 00 0b 03 01 09 01 | 00 00 0a 26 50 6f 73 74 |........|...&Post|
|00002b70| 43 6f 64 65 3a 00 00 00 | 00 00 00 00 0b 0d 01 0b |Code:...|........|
|00002b80| 02 04 00 00 0b 00 00 00 | 00 00 00 06 2f 01 0e 01 |........|..../...|
|00002b90| 00 00 0f 2a 26 43 6f 6d | 70 61 6e 79 20 4e 61 6d |...*&Com|pany Nam|
|00002ba0| 65 3a 00 00 00 00 00 00 | 00 07 30 01 1e 02 00 00 |e:......|..0.....|
|00002bb0| 00 06 00 00 00 00 00 00 | 08 30 01 11 01 00 00 12 |........|.0......|
|00002bc0| 26 45 76 65 6e 69 6e 67 | 20 50 68 6f 6e 65 20 4e |&Evening| Phone N|
|00002bd0| 6f 3a 00 00 00 00 00 00 | 00 08 41 01 0d 02 04 00 |o:......|..A.....|
|00002be0| 00 0e 00 00 00 00 00 00 | 09 2f 01 12 01 00 00 13 |........|./......|
|00002bf0| 2a 26 44 61 79 74 69 6d | 65 20 50 68 6f 6e 65 20 |*&Daytim|e Phone |
|00002c00| 4e 6f 3a 00 00 00 00 00 | 00 00 09 41 01 0d 02 00 |No:.....|...A....|
|00002c10| 00 00 0f 00 00 00 00 00 | 00 0d 04 01 13 01 00 00 |........|........|
|00002c20| 13 42 49 4c 4c 49 4e 47 | 20 49 4e 46 4f 52 4d 41 |.BILLING| INFORMA|
|00002c30| 54 49 4f 4e 00 00 00 00 | 00 00 00 0f 04 01 13 01 |TION....|........|
|00002c40| 00 00 14 26 43 72 65 64 | 69 74 20 43 61 72 64 20 |...&Cred|it Card |
|00002c50| 4e 75 6d 62 65 72 3a 00 | 00 00 00 00 00 00 0f 18 |Number:.|........|
|00002c60| 01 14 02 04 00 00 13 00 | 00 00 00 00 00 10 04 01 |........|........|
|00002c70| 17 01 00 00 18 26 45 78 | 70 69 72 61 74 69 6f 6e |.....&Ex|piration|
|00002c80| 20 44 61 74 65 20 28 39 | 2f 39 39 29 3a 00 00 00 | Date (9|/99):...|
|00002c90| 00 00 00 00 10 1c 01 05 | 02 04 00 00 15 00 00 00 |........|........|
|00002ca0| 28 49 6e 76 61 6c 69 64 | 20 45 78 70 69 72 61 74 |(Invalid| Expirat|
|00002cb0| 69 6f 6e 20 44 61 74 65 | 20 20 20 20 46 6f 72 6d |ion Date|    Form|
|00002cc0| 61 74 3a 20 31 32 2f 39 | 39 00 00 0f 30 03 0b 05 |at: 12/9|9...0...|
|00002cd0| 10 00 0a 20 50 26 72 6f | 63 65 65 64 20 00 00 00 |... P&ro|ceed ...|
|00002ce0| 00 00 00 00 0f 40 03 0a | 05 20 00 07 26 43 61 6e |.....@..|. ..&Can|
|00002cf0| 63 65 6c 00 00 00 00 00 | 00 00 12 04 01 0c 01 00 |cel.....|........|
|00002d00| 00 0c 2a 20 3d 20 4f 70 | 74 69 6f 6e 61 6c 00 00 |..* = Op|tional..|
|00002d10| 00 00 00 00 00 43 52 45 | 44 49 43 52 44 00 64 01 |.....CRE|DICRD.d.|
|00002d20| ff 00 09 01 03 08 12 3c | 00 00 00 00 00 00 00 00 |.......<|........|
|00002d30| 00 00 00 05 19 01 17 03 | 00 00 13 43 6f 6d 70 75 |........|...Compu|
|00002d40| 53 65 72 76 65 20 4d 61 | 67 61 7a 69 6e 65 00 01 |Serve Ma|gazine..|
|00002d50| 00 00 00 00 00 00 07 17 | 01 1e 01 00 00 1e 52 65 |........|......Re|
|00002d60| 63 65 69 76 65 20 61 20 | 66 72 65 65 20 73 75 62 |ceive a |free sub|
|00002d70| 73 63 72 69 70 74 69 6f | 6e 20 74 6f 00 00 00 00 |scriptio|n to....|
|00002d80| 00 00 00 08 17 01 20 01 | 00 00 20 74 68 65 20 6d |...... .|.. the m|
|00002d90| 6f 6e 74 68 6c 79 20 43 | 6f 6d 70 75 53 65 72 76 |onthly C|ompuServ|
|00002da0| 65 20 4d 61 67 61 7a 69 | 6e 65 2e 00 00 00 00 00 |e Magazi|ne......|
|00002db0| 00 00 0b 16 05 21 06 00 | 00 14 4f 74 68 65 72 20 |.....!..|..Other |
|00002dc0| 4d 65 6d 62 65 72 20 4f | 70 74 69 6f 6e 73 00 00 |Member O|ptions..|
|00002dd0| 00 00 00 00 00 0c 18 01 | 1c 03 00 00 18 4c 69 73 |........|.....Lis|
|00002de0| 74 20 69 6e 20 4d 65 6d | 62 65 72 20 44 69 72 65 |t in Mem|ber Dire|
|00002df0| 63 74 6f 72 79 00 08 00 | 00 00 00 00 00 0d 18 01 |ctory...|........|
|00002e00| 1c 03 00 00 18 52 65 63 | 65 69 76 65 20 50 72 6f |.....Rec|eive Pro|
|00002e10| 6d 6f 74 69 6f 6e 61 6c | 20 4d 61 69 6c 00 04 00 |motional| Mail...|
|00002e20| 00 00 00 00 00 0e 18 01 | 1d 03 00 00 19 52 65 63 |........|.....Rec|
|00002e30| 65 69 76 65 20 45 78 74 | 65 72 6e 61 6c 20 4d 61 |eive Ext|ernal Ma|
|00002e40| 69 6c 69 6e 67 73 00 10 | 00 00 00 00 00 00 11 16 |ilings..|........|
|00002e50| 03 0b 05 10 00 08 26 50 | 72 6f 63 65 65 64 00 00 |......&P|roceed..|
|00002e60| 00 00 00 00 00 11 2c 03 | 0b 05 20 00 07 26 43 61 |......,.|.. ..&Ca|
|00002e70| 6e 63 65 6c 00 00 00 00 | 00 00 00 4d 45 4d 42 45 |ncel....|...MEMBE|
|00002e80| 52 00 44 00 a2 03 ff 00 | 28 01 04 01 12 50 00 00 |R.D.....|(....P..|
|00002e90| 00 00 00 00 00 00 00 00 | 00 05 03 01 0b 01 00 00 |........|........|
|00002ea0| 0c 26 46 69 72 73 74 20 | 4e 61 6d 65 3a 00 00 00 |.&First |Name:...|
|00002eb0| 00 00 00 00 05 0f 01 15 | 02 04 00 00 05 00 00 00 |........|........|
|00002ec0| 00 00 00 06 03 01 0a 01 | 00 00 0b 26 4c 61 73 74 |........|...&Last|
|00002ed0| 20 4e 61 6d 65 3a 00 00 | 00 00 00 00 00 06 0e 01 | Name:..|........|
|00002ee0| 1e 02 04 00 00 04 00 00 | 00 00 00 00 07 03 01 18 |........|........|
|00002ef0| 01 00 00 19 26 53 74 72 | 65 65 74 20 4e 61 6d 65 |....&Str|eet Name|
|00002f00| 20 61 6e 64 20 48 6f 75 | 73 65 20 23 3a 00 00 00 | and Hou|se #:...|
|00002f10| 00 00 00 00 08 03 01 1e | 02 04 00 00 07 00 00 00 |........|........|
|00002f20| 00 00 00 09 03 01 09 01 | 00 00 0a 26 50 6f 73 74 |........|...&Post|
|00002f30| 43 6f 64 65 3a 00 00 00 | 00 00 00 00 09 0d 01 0b |Code:...|........|
|00002f40| 02 04 00 00 0b 00 00 00 | 00 00 00 0a 03 01 0a 01 |........|........|
|00002f50| 00 00 0b 26 54 6f 77 6e | 2f 43 69 74 79 3a 00 00 |...&Town|/City:..|
|00002f60| 00 00 00 00 00 0a 0e 01 | 1e 02 04 00 00 09 00 00 |........|........|
|00002f70| 00 00 00 00 05 30 01 0d | 01 00 00 0e 26 43 6f 6d |.....0..|....&Com|
|00002f80| 70 61 6e 79 20 4e 61 6d | 65 3a 00 00 00 00 00 00 |pany Nam|e:......|
|00002f90| 00 06 30 01 1e 02 04 00 | 00 06 00 00 00 00 00 00 |..0.....|........|
|00002fa0| 07 2f 01 1b 01 00 00 1c | 2a 26 44 69 76 69 73 69 |./......|*&Divisi|
|00002fb0| 6f 6e 20 6f 72 20 53 75 | 62 73 69 64 69 61 72 79 |on or Su|bsidiary|
|00002fc0| 20 6f 66 3a 00 00 00 00 | 00 00 00 08 30 01 1e 02 | of:....|....0...|
|00002fd0| 00 00 00 1c 00 00 00 00 | 00 00 09 30 01 11 01 00 |........|...0....|
|00002fe0| 00 12 26 45 76 65 6e 69 | 6e 67 20 50 68 6f 6e 65 |..&Eveni|ng Phone|
|00002ff0| 20 4e 72 3a 00 00 00 00 | 00 00 00 09 42 01 0d 02 | Nr:....|....B...|
|00003000| 04 00 00 0e 00 00 00 00 | 00 00 0a 30 01 11 01 00 |........|...0....|
|00003010| 00 12 26 44 61 79 74 69 | 6d 65 20 50 68 6f 6e 65 |..&Dayti|me Phone|
|00003020| 20 4e 72 3a 00 00 00 00 | 00 00 00 0a 42 01 0d 02 | Nr:....|....B...|
|00003030| 04 00 00 0f 00 00 00 00 | 00 00 0c 10 01 0e 01 00 |........|........|
|00003040| 00 0e 42 61 6e 6b 20 52 | 65 66 65 72 65 6e 63 65 |..Bank R|eference|
|00003050| 00 00 00 00 00 00 00 0d | 03 01 0a 01 00 00 0b 26 |........|.......&|
|00003060| 42 61 6e 6b 20 4e 61 6d | 65 3a 00 00 00 00 00 00 |Bank Nam|e:......|
|00003070| 00 0d 0e 01 1e 02 04 00 | 00 14 00 00 00 00 00 00 |........|........|
|00003080| 0e 03 01 18 01 00 00 19 | 26 53 74 72 65 65 74 20 |........|&Street |
|00003090| 4e 61 6d 65 20 61 6e 64 | 20 48 6f 75 73 65 20 23 |Name and| House #|
|000030a0| 3a 00 00 00 00 00 00 00 | 0f 03 01 1e 02 04 00 00 |:.......|........|
|000030b0| 2a 00 00 00 00 00 00 10 | 03 01 09 01 00 00 0a 26 |*.......|.......&|
|000030c0| 50 6f 73 74 43 6f 64 65 | 3a 00 00 00 00 00 00 00 |PostCode|:.......|
|000030d0| 10 0d 01 0b 02 04 00 00 | 2d 00 00 00 00 00 00 11 |........|-.......|
|000030e0| 03 01 0a 01 00 00 0b 26 | 54 6f 77 6e 2f 43 69 74 |.......&|Town/Cit|
|000030f0| 79 3a 00 00 00 00 00 00 | 00 11 0e 01 1e 02 04 00 |y:......|........|
|00003100| 00 2b 00 00 00 00 00 00 | 12 03 01 10 01 00 00 11 |.+......|........|
|00003110| 26 42 61 6e 6b 20 43 6f | 64 65 20 28 42 4c 5a 29 |&Bank Co|de (BLZ)|
|00003120| 3a 00 00 00 00 00 00 00 | 12 14 01 0f 02 04 00 00 |:.......|........|
|00003130| 81 00 00 14 00 00 00 13 | 03 01 0a 01 00 00 0b 26 |........|.......&|
|00003140| 41 63 63 74 2e 20 4e 6f | 2e 3a 00 00 00 00 00 00 |Acct. No|.:......|
|00003150| 00 13 0e 01 14 02 04 00 | 00 13 00 00 00 00 00 00 |........|........|
|00003160| 0d 31 01 07 01 00 00 08 | 2a 26 50 68 6f 6e 65 3a |.1......|*&Phone:|
|00003170| 00 00 00 00 00 00 00 0d | 39 01 0d 02 00 00 00 30 |........|9......0|
|00003180| 00 00 00 00 00 00 0e 31 | 01 08 01 00 00 09 2a 26 |.......1|......*&|
|00003190| 42 72 61 6e 63 68 3a 00 | 00 00 00 00 00 00 0f 31 |Branch:.|.......1|
|000031a0| 01 1e 02 00 00 00 2e 00 | 00 00 00 00 00 10 31 01 |........|......1.|
|000031b0| 09 01 00 00 0a 2a 26 43 | 6f 6e 74 61 63 74 3a 00 |.....*&C|ontact:.|
|000031c0| 00 00 00 00 00 00 11 31 | 01 1e 02 00 00 00 2f 00 |.......1|....../.|
|000031d0| 00 00 00 00 00 12 31 03 | 0b 05 10 00 0a 20 50 26 |......1.|..... P&|
|000031e0| 72 6f 63 65 65 64 20 00 | 00 00 00 00 00 00 12 41 |roceed .|.......A|
|000031f0| 03 0a 05 20 00 07 26 43 | 61 6e 63 65 6c 00 00 00 |... ..&C|ancel...|
|00003200| 00 00 00 00 14 03 01 0c | 01 00 00 0c 2a 20 3d 20 |........|....* = |
|00003210| 4f 70 74 69 6f 6e 61 6c | 00 00 00 00 00 00 00 43 |Optional|.......C|
|00003220| 42 41 31 00 52 00 44 00 | 16 03 ff 00 1e 1c 04 01 |BA1.R.D.|........|
|00003230| 12 50 00 00 00 00 00 00 | 00 00 00 00 00 05 04 01 |.P......|........|
|00003240| 21 01 00 00 21 41 44 4d | 49 4e 49 53 54 52 41 54 |!...!ADM|INISTRAT|
|00003250| 4f 52 20 41 43 43 4f 55 | 4e 54 20 49 4e 46 4f 52 |OR ACCOU|NT INFOR|
|00003260| 4d 41 54 49 4f 4e 00 00 | 00 00 00 00 00 07 03 01 |MATION..|........|
|00003270| 0b 01 00 00 0c 26 46 69 | 72 73 74 20 4e 61 6d 65 |.....&Fi|rst Name|
|00003280| 3a 00 00 00 00 00 00 00 | 07 0f 01 15 02 04 00 00 |:.......|........|
|00003290| 1e 00 00 00 00 00 00 08 | 03 01 0a 01 00 00 0b 26 |........|.......&|
|000032a0| 4c 61 73 74 20 4e 61 6d | 65 3a 00 00 00 00 00 00 |Last Nam|e:......|
|000032b0| 00 08 0e 01 1e 02 04 00 | 00 1d 00 00 00 00 00 00 |........|........|
|000032c0| 09 03 01 18 01 00 00 19 | 26 53 74 72 65 65 74 20 |........|&Street |
|000032d0| 4e 61 6d 65 20 61 6e 64 | 20 48 6f 75 73 65 20 23 |Name and| House #|
|000032e0| 3a 00 00 00 00 00 00 00 | 0a 03 01 1e 02 04 00 00 |:.......|........|
|000032f0| 1f 00 00 00 00 00 00 0b | 03 01 09 01 00 00 0a 26 |........|.......&|
|00003300| 50 6f 73 74 43 6f 64 65 | 3a 00 00 00 00 00 00 00 |PostCode|:.......|
|00003310| 0b 0d 01 0b 02 04 00 00 | 22 00 00 00 13 49 6e 76 |........|"....Inv|
|00003320| 61 6c 69 64 20 50 6f 73 | 74 61 6c 20 43 6f 64 65 |alid Pos|tal Code|
|00003330| 00 00 0c 03 01 0a 01 00 | 00 0b 26 54 6f 77 6e 2f |........|..&Town/|
|00003340| 43 69 74 79 3a 00 00 00 | 00 00 00 00 0c 0e 01 1e |City:...|........|
|00003350| 02 04 00 00 20 00 00 00 | 00 00 00 07 2e 01 12 01 |.... ...|........|
|00003360| 00 00 13 2a 26 50 75 72 | 63 68 61 73 65 20 4f 72 |...*&Pur|chase Or|
|00003370| 64 65 72 20 23 3a 00 00 | 00 00 00 00 00 07 41 01 |der #:..|......A.|
|00003380| 0f 02 00 00 00 25 00 00 | 00 00 00 00 08 2f 01 15 |.....%..|...../..|
|00003390| 01 00 00 16 26 43 6f 6d | 70 61 6e 79 20 52 65 67 |....&Com|pany Reg|
|000033a0| 2e 20 23 20 28 48 52 42 | 29 3a 00 00 00 00 00 00 |. # (HRB|):......|
|000033b0| 00 08 45 01 08 02 04 00 | 00 80 00 00 00 00 00 00 |..E.....|........|
|000033c0| 09 2f 01 09 01 00 00 0a | 26 50 68 6f 6e 65 20 4e |./......|&Phone N|
|000033d0| 72 3a 00 00 00 00 00 00 | 00 09 39 01 0d 02 04 00 |r:......|..9.....|
|000033e0| 00 23 00 00 00 00 00 00 | 0e 08 05 17 06 00 00 12 |.#......|........|
|000033f0| 20 46 6f 72 6d 20 6f 66 | 20 42 75 73 69 6e 65 73 | Form of| Busines|
|00003400| 73 20 00 00 00 00 00 00 | 00 0f 09 01 13 04 02 00 |s ......|........|
|00003410| 0f 53 6f 6c 65 20 50 72 | 6f 70 72 69 65 74 6f 72 |.Sole Pr|oprietor|
|00003420| 26 01 00 00 00 00 00 00 | 10 09 01 0f 04 00 00 0b |&.......|........|
|00003430| 43 6f 72 70 6f 72 61 74 | 69 6f 6e 26 02 00 00 00 |Corporat|ion&....|
|00003440| 00 00 00 11 09 01 0f 04 | 80 00 0b 50 61 72 74 6e |........|...Partn|
|00003450| 65 72 73 68 69 70 26 03 | 00 00 00 00 00 00 0d 2e |ership&.|........|
|00003460| 01 11 01 00 00 12 26 4b | 69 6e 64 20 6f 66 20 42 |......&K|ind of B|
|00003470| 75 73 69 6e 65 73 73 3a | 00 00 00 00 00 00 00 0e |usiness:|........|
|00003480| 2e 01 1e 02 04 00 00 28 | 00 00 00 00 00 00 0f 2e |.......(|........|
|00003490| 01 14 01 00 00 15 26 4e | 75 6d 62 65 72 20 6f 66 |......&N|umber of|
|000034a0| 20 45 6d 70 6c 6f 79 65 | 65 73 3a 00 00 00 00 00 | Employe|es:.....|
|000034b0| 00 00 0f 43 01 05 02 04 | 00 00 29 00 01 00 00 00 |...C....|..).....|
|000034c0| 00 10 2e 01 0d 01 00 00 | 0e 26 44 61 74 65 20 53 |........|.&Date S|
|000034d0| 74 61 72 74 65 64 3a 00 | 00 00 00 00 00 00 10 3c |tarted:.|.......<|
|000034e0| 01 08 02 04 00 00 27 00 | 00 00 00 00 00 12 31 03 |......'.|......1.|
|000034f0| 0b 05 10 00 0a 20 50 26 | 72 6f 63 65 65 64 20 00 |..... P&|roceed .|
|00003500| 00 00 00 00 00 00 12 3f | 03 0a 05 20 00 07 26 43 |.......?|... ..&C|
|00003510| 61 6e 63 65 6c 00 00 00 | 00 00 00 00 14 03 01 0c |ancel...|........|
|00003520| 01 00 00 0c 2a 20 3d 20 | 4f 70 74 69 6f 6e 61 6c |....* = |Optional|
|00003530| 00 00 00 00 00 00 00 43 | 42 41 32 00 52 00 44 00 |.......C|BA2.R.D.|
|00003540| 64 01 ff 00 09 01 03 08 | 12 3c 00 00 00 00 00 00 |d.......|.<......|
|00003550| 00 00 00 00 00 05 19 01 | 17 03 00 00 13 43 6f 6d |........|.....Com|
|00003560| 70 75 53 65 72 76 65 20 | 4d 61 67 61 7a 69 6e 65 |puServe |Magazine|
|00003570| 00 01 00 00 00 00 00 00 | 07 17 01 1e 01 00 00 1e |........|........|
|00003580| 52 65 63 65 69 76 65 20 | 61 20 66 72 65 65 20 73 |Receive |a free s|
|00003590| 75 62 73 63 72 69 70 74 | 69 6f 6e 20 74 6f 00 00 |ubscript|ion to..|
|000035a0| 00 00 00 00 00 08 17 01 | 20 01 00 00 20 74 68 65 |........| ... the|
|000035b0| 20 6d 6f 6e 74 68 6c 79 | 20 43 6f 6d 70 75 53 65 | monthly| CompuSe|
|000035c0| 72 76 65 20 4d 61 67 61 | 7a 69 6e 65 2e 00 00 00 |rve Maga|zine....|
|000035d0| 00 00 00 00 0b 16 05 21 | 06 00 00 14 4f 74 68 65 |.......!|....Othe|
|000035e0| 72 20 4d 65 6d 62 65 72 | 20 4f 70 74 69 6f 6e 73 |r Member| Options|
|000035f0| 00 00 00 00 00 00 00 0c | 18 01 1c 03 00 00 18 4c |........|.......L|
|00003600| 69 73 74 20 69 6e 20 4d | 65 6d 62 65 72 20 44 69 |ist in M|ember Di|
|00003610| 72 65 63 74 6f 72 79 00 | 08 00 00 00 00 00 00 0d |rectory.|........|
|00003620| 18 01 1c 03 00 00 18 52 | 65 63 65 69 76 65 20 50 |.......R|eceive P|
|00003630| 72 6f 6d 6f 74 69 6f 6e | 61 6c 20 4d 61 69 6c 00 |romotion|al Mail.|
|00003640| 04 00 00 00 00 00 00 0e | 18 01 1d 03 00 00 19 52 |........|.......R|
|00003650| 65 63 65 69 76 65 20 45 | 78 74 65 72 6e 61 6c 20 |eceive E|xternal |
|00003660| 4d 61 69 6c 69 6e 67 73 | 00 10 00 00 00 00 00 00 |Mailings|........|
|00003670| 11 16 03 0b 05 10 00 08 | 26 50 72 6f 63 65 65 64 |........|&Proceed|
|00003680| 00 00 00 00 00 00 00 11 | 2c 03 0b 05 20 00 07 26 |........|,... ..&|
|00003690| 43 61 6e 63 65 6c 00 00 | 00 00 00 00 00 4d 45 4d |Cancel..|.....MEM|
|000036a0| 42 45 52 00 44 00 f8 02 | ff 00 1c 01 04 01 0f 50 |BER.D...|.......P|
|000036b0| 00 00 00 00 00 00 00 00 | 00 00 00 06 03 01 0b 01 |........|........|
|000036c0| 00 00 0c 26 46 69 72 73 | 74 20 4e 61 6d 65 3a 00 |...&Firs|t Name:.|
|000036d0| 00 00 00 00 00 00 06 0f | 01 15 02 04 00 00 05 00 |........|........|
|000036e0| 00 00 00 00 00 06 26 01 | 05 01 00 00 06 26 4d 2e |......&.|.....&M.|
|000036f0| 49 2e 3a 00 00 00 00 00 | 00 00 06 2c 01 01 02 00 |I.:.....|...,....|
|00003700| 00 00 05 00 00 00 00 00 | 00 07 04 01 0a 01 00 00 |........|........|
|00003710| 0b 26 4c 61 73 74 20 4e | 61 6d 65 3a 00 00 00 00 |.&Last N|ame:....|
|00003720| 00 00 00 07 0f 01 1e 02 | 04 00 00 04 00 00 00 00 |........|........|
|00003730| 00 00 08 06 01 08 01 00 | 00 09 26 41 64 64 72 65 |........|..&Addre|
|00003740| 73 73 3a 00 00 00 00 00 | 00 00 08 0f 01 1e 02 04 |ss:.....|........|
|00003750| 00 00 07 00 00 00 00 00 | 00 09 09 01 05 01 00 00 |........|........|
|00003760| 06 26 43 69 74 79 3a 00 | 00 00 00 00 00 00 09 0f |.&City:.|........|
|00003770| 01 1e 02 04 00 00 09 00 | 00 00 00 00 00 0a 05 01 |........|........|
|00003780| 09 01 00 00 0a 26 50 72 | 6f 76 69 6e 63 65 3a 00 |.....&Pr|ovince:.|
|00003790| 00 00 00 00 00 00 0a 0f | 01 02 02 04 00 00 0a 00 |........|........|
|000037a0| 00 00 00 01 00 06 5b 50 | 52 4f 56 5d 0a 14 01 0c |......[P|ROV]....|
|000037b0| 01 00 00 0d 26 50 6f 73 | 74 61 6c 20 43 6f 64 65 |....&Pos|tal Code|
|000037c0| 3a 00 00 00 00 00 00 00 | 0a 21 01 07 02 04 00 00 |:.......|.!......|
|000037d0| 0b 00 00 00 13 49 6e 76 | 61 6c 69 64 20 50 6f 73 |.....Inv|alid Pos|
|000037e0| 74 61 6c 20 43 6f 64 65 | 02 00 09 3c 41 4e 41 20 |tal Code|...<ANA |
|000037f0| 4e 41 4e 3e 08 3c 41 4e | 41 4e 41 4e 3e 06 2f 01 |NAN>.<AN|ANAN>./.|
|00003800| 0e 01 00 00 0f 2a 26 43 | 6f 6d 70 61 6e 79 20 4e |.....*&C|ompany N|
|00003810| 61 6d 65 3a 00 00 00 00 | 00 00 00 07 30 01 1e 02 |ame:....|....0...|
|00003820| 00 00 00 06 00 00 00 00 | 00 00 08 30 01 11 01 00 |........|...0....|
|00003830| 00 12 26 45 76 65 6e 69 | 6e 67 20 50 68 6f 6e 65 |..&Eveni|ng Phone|
|00003840| 20 4e 6f 3a 00 00 00 00 | 00 00 00 08 41 01 0d 02 | No:....|....A...|
|00003850| 04 00 00 0e 00 00 00 00 | 01 00 07 5b 50 48 4f 4e |........|...[PHON|
|00003860| 45 5d 09 2f 01 12 01 00 | 00 13 2a 26 44 61 79 74 |E]./....|..*&Dayt|
|00003870| 69 6d 65 20 50 68 6f 6e | 65 20 4e 6f 3a 00 00 00 |ime Phon|e No:...|
|00003880| 00 00 00 00 09 41 01 0d | 02 00 00 00 0f 00 00 00 |.....A..|........|
|00003890| 00 01 00 07 5b 50 48 4f | 4e 45 5d 0c 06 01 13 01 |....[PHO|NE].....|
|000038a0| 00 00 13 42 49 4c 4c 49 | 4e 47 20 49 4e 46 4f 52 |...BILLI|NG INFOR|
|000038b0| 4d 41 54 49 4f 4e 00 00 | 00 00 00 00 00 0e 04 01 |MATION..|........|
|000038c0| 13 01 00 00 14 26 43 72 | 65 64 69 74 20 43 61 72 |.....&Cr|edit Car|
|000038d0| 64 20 4e 75 6d 62 65 72 | 3a 00 00 00 00 00 00 00 |d Number|:.......|
|000038e0| 0e 18 01 14 02 04 00 00 | 13 00 00 00 00 00 00 0f |........|........|
|000038f0| 04 01 17 01 00 00 18 26 | 45 78 70 69 72 61 74 69 |.......&|Expirati|
|00003900| 6f 6e 20 44 61 74 65 20 | 28 39 2f 39 39 29 3a 00 |on Date |(9/99):.|
|00003910| 00 00 00 00 00 00 0f 1c | 01 05 02 04 00 00 15 00 |........|........|
|00003920| 00 00 28 49 6e 76 61 6c | 69 64 20 45 78 70 69 72 |..(Inval|id Expir|
|00003930| 61 74 69 6f 6e 20 44 61 | 74 65 20 20 20 20 46 6f |ation Da|te    Fo|
|00003940| 72 6d 61 74 3a 20 31 32 | 2f 39 39 00 00 0e 30 03 |rmat: 12|/99...0.|
|00003950| 0b 05 10 00 0a 20 50 26 | 72 6f 63 65 65 64 20 00 |..... P&|roceed .|
|00003960| 00 00 00 00 00 00 0e 40 | 03 0a 05 20 00 07 26 43 |.......@|... ..&C|
|00003970| 61 6e 63 65 6c 00 00 00 | 00 00 00 00 11 04 01 0c |ancel...|........|
|00003980| 01 00 00 0c 2a 20 3d 20 | 4f 70 74 69 6f 6e 61 6c |....* = |Optional|
|00003990| 00 00 00 00 00 00 00 43 | 52 45 44 49 43 52 44 00 |.......C|REDICRD.|
|000039a0| 64 01 ff 00 09 01 03 08 | 12 3c 00 00 00 00 00 00 |d.......|.<......|
|000039b0| 00 00 00 00 00 05 19 01 | 17 03 00 00 13 43 6f 6d |........|.....Com|
|000039c0| 70 75 53 65 72 76 65 20 | 4d 61 67 61 7a 69 6e 65 |puServe |Magazine|
|000039d0| 00 01 00 00 00 00 00 00 | 07 17 01 1e 01 00 00 1e |........|........|
|000039e0| 52 65 63 65 69 76 65 20 | 61 20 66 72 65 65 20 73 |Receive |a free s|
|000039f0| 75 62 73 63 72 69 70 74 | 69 6f 6e 20 74 6f 00 00 |ubscript|ion to..|
|00003a00| 00 00 00 00 00 08 17 01 | 20 01 00 00 20 74 68 65 |........| ... the|
|00003a10| 20 6d 6f 6e 74 68 6c 79 | 20 43 6f 6d 70 75 53 65 | monthly| CompuSe|
|00003a20| 72 76 65 20 4d 61 67 61 | 7a 69 6e 65 2e 00 00 00 |rve Maga|zine....|
|00003a30| 00 00 00 00 0b 16 05 21 | 06 00 00 14 4f 74 68 65 |.......!|....Othe|
|00003a40| 72 20 4d 65 6d 62 65 72 | 20 4f 70 74 69 6f 6e 73 |r Member| Options|
|00003a50| 00 00 00 00 00 00 00 0c | 18 01 1c 03 00 00 18 4c |........|.......L|
|00003a60| 69 73 74 20 69 6e 20 4d | 65 6d 62 65 72 20 44 69 |ist in M|ember Di|
|00003a70| 72 65 63 74 6f 72 79 00 | 08 00 00 00 00 00 00 0d |rectory.|........|
|00003a80| 18 01 1c 03 00 00 18 52 | 65 63 65 69 76 65 20 50 |.......R|eceive P|
|00003a90| 72 6f 6d 6f 74 69 6f 6e | 61 6c 20 4d 61 69 6c 00 |romotion|al Mail.|
|00003aa0| 04 00 00 00 00 00 00 0e | 18 01 1d 03 00 00 19 52 |........|.......R|
|00003ab0| 65 63 65 69 76 65 20 45 | 78 74 65 72 6e 61 6c 20 |eceive E|xternal |
|00003ac0| 4d 61 69 6c 69 6e 67 73 | 00 10 00 00 00 00 00 00 |Mailings|........|
|00003ad0| 11 16 03 0b 05 10 00 08 | 26 50 72 6f 63 65 65 64 |........|&Proceed|
|00003ae0| 00 00 00 00 00 00 00 11 | 2c 03 0b 05 20 00 07 26 |........|,... ..&|
|00003af0| 43 61 6e 63 65 6c 00 00 | 00 00 00 00 00 4d 45 4d |Cancel..|.....MEM|
|00003b00| 42 45 52 00 44 00 2f 04 | ff 00 2c 01 04 01 12 50 |BER.D./.|..,....P|
|00003b10| 00 00 00 00 00 00 00 00 | 00 00 00 05 03 01 0b 01 |........|........|
|00003b20| 00 00 0c 26 46 69 72 73 | 74 20 4e 61 6d 65 3a 00 |...&Firs|t Name:.|
|00003b30| 00 00 00 00 00 00 05 0f | 01 15 02 04 00 00 05 00 |........|........|
|00003b40| 00 00 00 00 00 05 26 01 | 05 01 00 00 06 26 4d 2e |......&.|.....&M.|
|00003b50| 49 2e 3a 00 00 00 00 00 | 00 00 05 2b 01 01 02 00 |I.:.....|...+....|
|00003b60| 00 00 05 00 00 00 00 00 | 00 06 04 01 0a 01 00 00 |........|........|
|00003b70| 0b 26 4c 61 73 74 20 4e | 61 6d 65 3a 00 00 00 00 |.&Last N|ame:....|
|00003b80| 00 00 00 06 0f 01 1e 02 | 04 00 00 04 00 00 00 00 |........|........|
|00003b90| 00 00 07 06 01 08 01 00 | 00 09 26 41 64 64 72 65 |........|..&Addre|
|00003ba0| 73 73 3a 00 00 00 00 00 | 00 00 07 0f 01 1e 02 04 |ss:.....|........|
|00003bb0| 00 00 07 00 00 00 00 00 | 00 08 09 01 05 01 00 00 |........|........|
|00003bc0| 06 26 43 69 74 79 3a 00 | 00 00 00 00 00 00 08 0f |.&City:.|........|
|00003bd0| 01 1e 02 04 00 00 09 00 | 00 00 00 00 00 09 05 01 |........|........|
|00003be0| 09 01 00 00 0a 26 50 72 | 6f 76 69 6e 63 65 3a 00 |.....&Pr|ovince:.|
|00003bf0| 00 00 00 00 00 00 09 0f | 01 02 02 04 00 00 0a 00 |........|........|
|00003c00| 00 00 00 01 00 06 5b 50 | 52 4f 56 5d 09 14 01 0c |......[P|ROV]....|
|00003c10| 01 00 00 0d 26 50 6f 73 | 74 61 6c 20 43 6f 64 65 |....&Pos|tal Code|
|00003c20| 3a 00 00 00 00 00 00 00 | 09 21 01 07 02 04 00 00 |:.......|.!......|
|00003c30| 0b 00 00 00 13 49 6e 76 | 61 6c 69 64 20 50 6f 73 |.....Inv|alid Pos|
|00003c40| 74 61 6c 20 43 6f 64 65 | 02 00 09 3c 41 4e 41 20 |tal Code|...<ANA |
|00003c50| 4e 41 4e 3e 08 3c 41 4e | 41 4e 41 4e 3e 05 30 01 |NAN>.<AN|ANAN>.0.|
|00003c60| 0d 01 00 00 0e 26 43 6f | 6d 70 61 6e 79 20 4e 61 |.....&Co|mpany Na|
|00003c70| 6d 65 3a 00 00 00 00 00 | 00 00 06 30 01 1e 02 04 |me:.....|...0....|
|00003c80| 00 00 06 00 00 00 00 00 | 00 08 30 01 1e 02 00 00 |........|..0.....|
|00003c90| 00 1c 00 00 00 00 00 00 | 09 30 01 11 01 00 00 12 |........|.0......|
|00003ca0| 26 45 76 65 6e 69 6e 67 | 20 50 68 6f 6e 65 20 4e |&Evening| Phone N|
|00003cb0| 6f 3a 00 00 00 00 00 00 | 00 09 41 01 0d 02 04 00 |o:......|..A.....|
|00003cc0| 00 0e 00 00 00 00 00 00 | 0a 30 01 11 01 00 00 12 |........|.0......|
|00003cd0| 26 44 61 79 74 69 6d 65 | 20 50 68 6f 6e 65 20 4e |&Daytime| Phone N|
|00003ce0| 6f 3a 00 00 00 00 00 00 | 00 0a 41 01 0d 02 04 00 |o:......|..A.....|
|00003cf0| 00 0f 00 00 00 00 01 00 | 07 5b 50 48 4f 4e 45 5d |........|.[PHONE]|
|00003d00| 0c 0e 01 0e 01 00 00 0e | 42 61 6e 6b 20 52 65 66 |........|Bank Ref|
|00003d10| 65 72 65 6e 63 65 00 00 | 00 00 00 00 00 0e 03 01 |erence..|........|
|00003d20| 0a 01 00 00 0b 26 42 61 | 6e 6b 20 4e 61 6d 65 3a |.....&Ba|nk Name:|
|00003d30| 00 00 00 00 00 00 00 0e | 0e 01 1e 02 04 00 00 14 |........|........|
|00003d40| 00 00 00 00 00 00 0f 05 | 01 08 01 00 00 09 26 41 |........|......&A|
|00003d50| 64 64 72 65 73 73 3a 00 | 00 00 00 00 00 00 0f 0e |ddress:.|........|
|00003d60| 01 1e 02 04 00 00 2a 00 | 00 00 00 00 00 10 08 01 |......*.|........|
|00003d70| 05 01 00 00 06 26 43 69 | 74 79 3a 00 00 00 00 00 |.....&Ci|ty:.....|
|00003d80| 00 00 10 0e 01 1e 02 04 | 00 00 2b 00 00 00 00 00 |........|..+.....|
|00003d90| 00 11 04 01 09 01 00 00 | 0a 26 50 72 6f 76 69 6e |........|.&Provin|
|00003da0| 63 65 3a 00 00 00 00 00 | 00 00 11 0e 01 02 02 04 |ce:.....|........|
|00003db0| 00 00 2c 00 00 00 00 01 | 00 06 5b 50 52 4f 56 5d |..,.....|..[PROV]|
|00003dc0| 11 14 01 0c 01 00 00 0d | 26 50 6f 73 74 61 6c 20 |........|&Postal |
|00003dd0| 43 6f 64 65 3a 00 00 00 | 00 00 00 00 11 21 01 07 |Code:...|.....!..|
|00003de0| 02 04 00 00 2d 00 00 00 | 13 49 6e 76 61 6c 69 64 |....-...|.Invalid|
|00003df0| 20 50 6f 73 74 61 6c 20 | 43 6f 64 65 02 00 09 3c | Postal |Code...<|
|00003e00| 41 4e 41 20 4e 41 4e 3e | 08 3c 41 4e 41 4e 41 4e |ANA NAN>|.<ANANAN|
|00003e10| 3e 12 06 01 07 01 00 00 | 08 2a 26 50 68 6f 6e 65 |>.......|.*&Phone|
|00003e20| 3a 00 00 00 00 00 00 00 | 12 0e 01 0d 02 00 00 00 |:.......|........|
|00003e30| 30 00 00 00 00 01 00 07 | 5b 50 48 4f 4e 45 5d 0c |0.......|[PHONE].|
|00003e40| 30 01 08 01 00 00 09 2a | 26 42 72 61 6e 63 68 3a |0......*|&Branch:|
|00003e50| 00 00 00 00 00 00 00 0d | 30 01 1e 02 00 00 00 2e |........|0.......|
|00003e60| 00 00 00 00 00 00 0e 30 | 01 09 01 00 00 0a 2a 26 |.......0|......*&|
|00003e70| 43 6f 6e 74 61 63 74 3a | 00 00 00 00 00 00 00 0f |Contact:|........|
|00003e80| 30 01 1e 02 00 00 00 2f | 00 00 00 00 00 00 10 30 |0....../|.......0|
|00003e90| 01 0b 01 00 00 0c 2a 26 | 41 63 63 74 2e 20 4e 6f |......*&|Acct. No|
|00003ea0| 2e 3a 00 00 00 00 00 00 | 00 10 3b 01 14 02 00 00 |.:......|..;.....|
|00003eb0| 00 13 00 00 00 00 00 00 | 12 31 03 0b 05 10 00 0a |........|.1......|
|00003ec0| 20 50 26 72 6f 63 65 65 | 64 20 00 00 00 00 00 00 | P&rocee|d ......|
|00003ed0| 00 12 41 03 0a 05 20 00 | 09 20 26 43 61 6e 63 65 |..A... .|. &Cance|
|00003ee0| 6c 20 00 00 00 00 00 00 | 00 14 03 01 0c 01 00 00 |l ......|........|
|00003ef0| 0c 2a 20 3d 20 4f 70 74 | 69 6f 6e 61 6c 00 00 00 |.* = Opt|ional...|
|00003f00| 00 00 00 00 07 30 01 1a | 01 00 00 1b 2a 26 44 69 |.....0..|....*&Di|
|00003f10| 76 69 73 69 6f 6e 20 6f | 72 20 53 75 62 73 69 64 |vision o|r Subsid|
|00003f20| 69 61 72 79 20 6f 66 00 | 00 00 00 00 00 00 43 42 |iary of.|......CB|
|00003f30| 41 31 00 52 00 44 00 6f | 03 ff 00 22 02 04 01 12 |A1.R.D.o|..."....|
|00003f40| 50 00 00 00 00 00 00 00 | 00 00 00 00 05 04 01 21 |P.......|.......!|
|00003f50| 01 00 00 21 41 44 4d 49 | 4e 49 53 54 52 41 54 4f |...!ADMI|NISTRATO|
|00003f60| 52 20 41 43 43 4f 55 4e | 54 20 49 4e 46 4f 52 4d |R ACCOUN|T INFORM|
|00003f70| 41 54 49 4f 4e 00 00 00 | 00 00 00 00 07 03 01 0b |ATION...|........|
|00003f80| 01 00 00 0c 26 46 69 72 | 73 74 20 4e 61 6d 65 3a |....&Fir|st Name:|
|00003f90| 00 00 00 00 00 00 00 07 | 0f 01 15 02 04 00 00 1e |........|........|
|00003fa0| 00 00 00 00 00 00 07 26 | 01 05 01 00 00 06 26 4d |.......&|......&M|
|00003fb0| 2e 49 2e 3a 00 00 00 00 | 00 00 00 07 2c 01 01 02 |.I.:....|....,...|
|00003fc0| 00 00 00 1e 00 00 00 00 | 00 00 08 04 01 0a 01 00 |........|........|
|00003fd0| 00 0b 26 4c 61 73 74 20 | 4e 61 6d 65 3a 00 00 00 |..&Last |Name:...|
|00003fe0| 00 00 00 00 08 0f 01 1e | 02 04 00 00 1d 00 00 00 |........|........|
|00003ff0| 00 00 00 09 06 01 08 01 | 00 00 09 26 41 64 64 72 |........|...&Addr|
|00004000| 65 73 73 3a 00 00 00 00 | 00 00 00 09 0f 01 1e 02 |ess:....|........|
|00004010| 04 00 00 1f 00 00 00 00 | 00 00 0a 09 01 05 01 00 |........|........|
|00004020| 00 06 26 43 69 74 79 3a | 00 00 00 00 00 00 00 0a |..&City:|........|
|00004030| 0f 01 1e 02 04 00 00 20 | 00 00 00 00 00 00 0b 05 |....... |........|
|00004040| 01 09 01 00 00 0a 26 50 | 72 6f 76 69 6e 63 65 3a |......&P|rovince:|
|00004050| 00 00 00 00 00 00 00 0b | 0f 01 02 02 04 00 00 21 |........|.......!|
|00004060| 00 00 00 00 01 00 06 5b | 50 52 4f 56 5d 0b 15 01 |.......[|PROV]...|
|00004070| 0c 01 00 00 0d 26 50 6f | 73 74 61 6c 20 43 6f 64 |.....&Po|stal Cod|
|00004080| 65 3a 00 00 00 00 00 00 | 00 0b 22 01 07 02 04 00 |e:......|..".....|
|00004090| 00 22 00 00 00 13 49 6e | 76 61 6c 69 64 20 50 6f |."....In|valid Po|
|000040a0| 73 74 61 6c 20 43 6f 64 | 65 02 00 09 3c 41 4e 41 |stal Cod|e...<ANA|
|000040b0| 20 4e 41 4e 3e 08 3c 41 | 4e 41 4e 41 4e 3e 07 2e | NAN>.<A|NANAN>..|
|000040c0| 01 12 01 00 00 13 2a 26 | 50 75 72 63 68 61 73 65 |......*&|Purchase|
|000040d0| 20 4f 72 64 65 72 20 23 | 3a 00 00 00 00 00 00 00 | Order #|:.......|
|000040e0| 07 41 01 0f 02 00 00 00 | 25 00 00 00 00 00 00 08 |.A......|%.......|
|000040f0| 2e 01 12 01 00 00 13 2a | 26 46 65 64 65 72 61 6c |.......*|&Federal|
|00004100| 20 54 61 78 20 49 44 20 | 23 3a 00 00 00 00 00 00 | Tax ID |#:......|
|00004110| 00 08 41 01 0b 02 00 00 | 00 24 00 01 00 00 00 00 |..A.....|.$......|
|00004120| 09 2f 01 09 01 00 00 0a | 26 50 68 6f 6e 65 20 4e |./......|&Phone N|
|00004130| 6f 3a 00 00 00 00 00 00 | 00 09 39 01 0d 02 04 00 |o:......|..9.....|
|00004140| 00 23 00 00 00 00 01 00 | 07 5b 50 48 4f 4e 45 5d |.#......|.[PHONE]|
|00004150| 0d 08 05 17 06 00 00 12 | 20 46 6f 72 6d 20 6f 66 |........| Form of|
|00004160| 20 42 75 73 69 6e 65 73 | 73 20 00 00 00 00 00 00 | Busines|s ......|
|00004170| 00 0e 09 01 13 04 02 00 | 0f 53 6f 6c 65 20 50 72 |........|.Sole Pr|
|00004180| 6f 70 72 69 65 74 6f 72 | 26 01 00 00 00 00 00 00 |oprietor|&.......|
|00004190| 0f 09 01 0f 04 00 00 0b | 43 6f 72 70 6f 72 61 74 |........|Corporat|
|000041a0| 69 6f 6e 26 02 00 00 00 | 00 00 00 10 09 01 0f 04 |ion&....|........|
|000041b0| 80 00 0b 50 61 72 74 6e | 65 72 73 68 69 70 26 03 |...Partn|ership&.|
|000041c0| 00 00 00 00 00 00 0d 2f | 01 11 01 00 00 12 26 4b |......./|......&K|
|000041d0| 69 6e 64 20 6f 66 20 42 | 75 73 69 6e 65 73 73 3a |ind of B|usiness:|
|000041e0| 00 00 00 00 00 00 00 0e | 2f 01 1e 02 04 00 00 28 |........|/......(|
|000041f0| 00 00 00 00 00 00 0f 2f | 01 14 01 00 00 15 26 4e |......./|......&N|
|00004200| 75 6d 62 65 72 20 6f 66 | 20 45 6d 70 6c 6f 79 65 |umber of| Employe|
|00004210| 65 73 3a 00 00 00 00 00 | 00 00 0f 44 01 05 02 04 |es:.....|...D....|
|00004220| 00 00 29 00 01 00 00 00 | 00 10 2f 01 0d 01 00 00 |..).....|../.....|
|00004230| 0e 26 44 61 74 65 20 53 | 74 61 72 74 65 64 3a 00 |.&Date S|tarted:.|
|00004240| 00 00 00 00 00 00 10 3d | 01 08 02 04 00 00 27 00 |.......=|......'.|
|00004250| 00 00 00 00 00 12 31 03 | 0b 05 10 00 0a 20 50 26 |......1.|..... P&|
|00004260| 72 6f 63 65 65 64 20 00 | 00 00 00 00 00 00 12 3f |roceed .|.......?|
|00004270| 03 0a 05 20 00 07 26 43 | 61 6e 63 65 6c 00 00 00 |... ..&C|ancel...|
|00004280| 00 00 00 00 14 03 01 0c | 01 00 00 0c 2a 20 3d 20 |........|....* = |
|00004290| 4f 70 74 69 6f 6e 61 6c | 00 00 00 00 00 00 00 43 |Optional|.......C|
|000042a0| 42 41 32 00 52 00 44 00 | 1e 03 ff 00 20 02 04 01 |BA2.R.D.|.... ...|
|000042b0| 10 50 00 00 00 00 00 00 | 00 00 00 00 00 05 04 01 |.P......|........|
|000042c0| 11 01 00 00 11 43 52 45 | 44 49 54 20 52 45 46 45 |.....CRE|DIT REFE|
|000042d0| 52 45 4e 43 45 53 00 00 | 00 00 00 00 00 07 03 01 |RENCES..|........|
|000042e0| 0d 01 00 00 0e 26 43 6f | 6d 70 61 6e 79 20 4e 61 |.....&Co|mpany Na|
|000042f0| 6d 65 3a 00 00 00 00 00 | 00 00 07 11 01 1e 02 04 |me:.....|........|
|00004300| 00 00 32 00 00 00 00 00 | 00 08 08 01 08 01 00 00 |..2.....|........|
|00004310| 09 26 41 64 64 72 65 73 | 73 3a 00 00 00 00 00 00 |.&Addres|s:......|
|00004320| 00 08 11 01 1e 02 04 00 | 00 33 00 00 00 00 00 00 |........|.3......|
|00004330| 09 0b 01 05 01 00 00 06 | 26 43 69 74 79 3a 00 00 |........|&City:..|
|00004340| 00 00 00 00 00 09 11 01 | 1e 02 04 00 00 34 00 00 |........|.....4..|
|00004350| 00 00 00 00 0a 07 01 09 | 01 00 00 0a 26 50 72 6f |........|....&Pro|
|00004360| 76 69 6e 63 65 3a 00 00 | 00 00 00 00 00 0a 11 01 |vince:..|........|
|00004370| 02 02 04 00 00 35 00 00 | 00 00 01 00 06 5b 50 52 |.....5..|.....[PR|
|00004380| 4f 56 5d 0a 16 01 0c 01 | 00 00 0d 26 50 6f 73 74 |OV].....|...&Post|
|00004390| 61 6c 20 43 6f 64 65 3a | 00 00 00 00 00 00 00 0a |al Code:|........|
|000043a0| 23 01 07 02 04 00 00 36 | 00 00 00 13 49 6e 76 61 |#......6|....Inva|
|000043b0| 6c 69 64 20 50 6f 73 74 | 61 6c 20 43 6f 64 65 02 |lid Post|al Code.|
|000043c0| 00 09 3c 41 4e 41 20 4e | 41 4e 3e 08 3c 41 4e 41 |..<ANA N|AN>.<ANA|
|000043d0| 4e 41 4e 3e 07 30 01 09 | 01 00 00 0a 2a 26 43 6f |NAN>.0..|....*&Co|
|000043e0| 6e 74 61 63 74 3a 00 00 | 00 00 00 00 00 08 31 01 |ntact:..|......1.|
|000043f0| 1e 02 00 00 00 37 00 00 | 00 00 00 00 09 31 01 06 |.....7..|.....1..|
|00004400| 01 00 00 07 26 50 68 6f | 6e 65 3a 00 00 00 00 00 |....&Pho|ne:.....|
|00004410| 00 00 09 38 01 0d 02 04 | 00 00 38 00 00 00 00 01 |...8....|..8.....|
|00004420| 00 07 5b 50 48 4f 4e 45 | 5d 0c 03 01 0d 01 00 00 |..[PHONE|].......|
|00004430| 0e 26 43 6f 6d 70 61 6e | 79 20 4e 61 6d 65 3a 00 |.&Compan|y Name:.|
|00004440| 00 00 00 00 00 00 0c 11 | 01 1e 02 04 00 00 3c 00 |........|......<.|
|00004450| 00 00 00 00 00 0d 08 01 | 08 01 00 00 09 26 41 64 |........|.....&Ad|
|00004460| 64 72 65 73 73 3a 00 00 | 00 00 00 00 00 0d 11 01 |dress:..|........|
|00004470| 1e 02 04 00 00 3d 00 00 | 00 00 00 00 0e 0b 01 05 |.....=..|........|
|00004480| 01 00 00 06 26 43 69 74 | 79 3a 00 00 00 00 00 00 |....&Cit|y:......|
|00004490| 00 0e 11 01 1e 02 04 00 | 00 3e 00 00 00 00 00 00 |........|.>......|
|000044a0| 0f 07 01 09 01 00 00 0a | 26 50 72 6f 76 69 6e 63 |........|&Provinc|
|000044b0| 65 3a 00 00 00 00 00 00 | 00 0f 11 01 02 02 04 00 |e:......|........|
|000044c0| 00 3f 00 00 00 00 01 00 | 06 5b 50 52 4f 56 5d 0f |.?......|.[PROV].|
|000044d0| 16 01 0c 01 00 00 0d 26 | 50 6f 73 74 61 6c 20 43 |.......&|Postal C|
|000044e0| 6f 64 65 3a 00 00 00 00 | 00 00 00 0f 23 01 07 02 |ode:....|....#...|
|000044f0| 04 00 00 40 00 00 00 13 | 49 6e 76 61 6c 69 64 20 |...@....|Invalid |
|00004500| 50 6f 73 74 61 6c 20 43 | 6f 64 65 02 00 09 3c 41 |Postal C|ode...<A|
|00004510| 4e 41 20 4e 41 4e 3e 08 | 3c 41 4e 41 4e 41 4e 3e |NA NAN>.|<ANANAN>|
|00004520| 0c 30 01 09 01 00 00 0a | 2a 26 43 6f 6e 74 61 63 |.0......|*&Contac|
|00004530| 74 3a 00 00 00 00 00 00 | 00 0d 31 01 1e 02 00 00 |t:......|..1.....|
|00004540| 00 41 00 00 00 00 00 00 | 0e 31 01 06 01 00 00 07 |.A......|.1......|
|00004550| 26 50 68 6f 6e 65 3a 00 | 00 00 00 00 00 00 0e 38 |&Phone:.|.......8|
|00004560| 01 0d 02 04 00 00 42 00 | 00 00 00 01 00 07 5b 50 |......B.|......[P|
|00004570| 48 4f 4e 45 5d 10 31 03 | 0b 05 10 00 0a 20 50 26 |HONE].1.|..... P&|
|00004580| 72 6f 63 65 65 64 20 00 | 00 00 00 00 00 00 10 41 |roceed .|.......A|
|00004590| 03 0a 05 20 00 07 26 43 | 61 6e 63 65 6c 00 00 00 |... ..&C|ancel...|
|000045a0| 00 00 00 00 11 04 01 0c | 01 00 00 0c 2a 20 3d 20 |........|....* = |
|000045b0| 4f 70 74 69 6f 6e 61 6c | 00 00 00 00 00 00 00 43 |Optional|.......C|
|000045c0| 42 41 33 00 52 00 44 00 | 64 01 ff 00 09 01 03 08 |BA3.R.D.|d.......|
|000045d0| 12 3c 00 00 00 00 00 00 | 00 00 00 00 00 05 19 01 |.<......|........|
|000045e0| 17 03 00 00 13 43 6f 6d | 70 75 53 65 72 76 65 20 |.....Com|puServe |
|000045f0| 4d 61 67 61 7a 69 6e 65 | 00 01 00 00 00 00 00 00 |Magazine|........|
|00004600| 07 17 01 1e 01 00 00 1e | 52 65 63 65 69 76 65 20 |........|Receive |
|00004610| 61 20 66 72 65 65 20 73 | 75 62 73 63 72 69 70 74 |a free s|ubscript|
|00004620| 69 6f 6e 20 74 6f 00 00 | 00 00 00 00 00 08 17 01 |ion to..|........|
|00004630| 20 01 00 00 20 74 68 65 | 20 6d 6f 6e 74 68 6c 79 | ... the| monthly|
|00004640| 20 43 6f 6d 70 75 53 65 | 72 76 65 20 4d 61 67 61 | CompuSe|rve Maga|
|00004650| 7a 69 6e 65 2e 00 00 00 | 00 00 00 00 0b 16 05 21 |zine....|.......!|
|00004660| 06 00 00 14 4f 74 68 65 | 72 20 4d 65 6d 62 65 72 |....Othe|r Member|
|00004670| 20 4f 70 74 69 6f 6e 73 | 00 00 00 00 00 00 00 0c | Options|........|
|00004680| 18 01 1c 03 00 00 18 4c | 69 73 74 20 69 6e 20 4d |.......L|ist in M|
|00004690| 65 6d 62 65 72 20 44 69 | 72 65 63 74 6f 72 79 00 |ember Di|rectory.|
|000046a0| 08 00 00 00 00 00 00 0d | 18 01 1c 03 00 00 18 52 |........|.......R|
|000046b0| 65 63 65 69 76 65 20 50 | 72 6f 6d 6f 74 69 6f 6e |eceive P|romotion|
|000046c0| 61 6c 20 4d 61 69 6c 00 | 04 00 00 00 00 00 00 0e |al Mail.|........|
|000046d0| 18 01 1d 03 00 00 19 52 | 65 63 65 69 76 65 20 45 |.......R|eceive E|
|000046e0| 78 74 65 72 6e 61 6c 20 | 4d 61 69 6c 69 6e 67 73 |xternal |Mailings|
|000046f0| 00 10 00 00 00 00 00 00 | 11 16 03 0b 05 10 00 08 |........|........|
|00004700| 26 50 72 6f 63 65 65 64 | 00 00 00 00 00 00 00 11 |&Proceed|........|
|00004710| 2c 03 0b 05 20 00 07 26 | 43 61 6e 63 65 6c 00 00 |,... ..&|Cancel..|
|00004720| 00 00 00 00 00 4d 45 4d | 42 45 52 00 44 00 7d 02 |.....MEM|BER.D.}.|
|00004730| ff 00 18 01 04 01 10 50 | 00 00 00 00 00 00 00 00 |.......P|........|
|00004740| 00 00 00 06 03 01 0b 01 | 00 00 0c 26 46 69 72 73 |........|...&Firs|
|00004750| 74 20 4e 61 6d 65 3a 00 | 00 00 00 00 00 00 06 0f |t Name:.|........|
|00004760| 01 15 02 04 00 00 05 00 | 00 00 00 00 00 07 03 01 |........|........|
|00004770| 0a 01 00 00 0b 26 4c 61 | 73 74 20 4e 61 6d 65 3a |.....&La|st Name:|
|00004780| 00 00 00 00 00 00 00 07 | 0f 01 1e 02 04 00 00 04 |........|........|
|00004790| 00 00 00 00 00 00 08 03 | 01 18 01 00 00 19 26 53 |........|......&S|
|000047a0| 74 72 65 65 74 20 4e 61 | 6d 65 20 61 6e 64 20 48 |treet Na|me and H|
|000047b0| 6f 75 73 65 20 23 3a 00 | 00 00 00 00 00 00 09 03 |ouse #:.|........|
|000047c0| 01 1e 02 04 00 00 07 00 | 00 00 00 00 00 0a 03 01 |........|........|
|000047d0| 05 01 00 00 06 26 43 69 | 74 79 3a 00 00 00 00 00 |.....&Ci|ty:.....|
|000047e0| 00 00 0a 09 01 1e 02 04 | 00 00 09 00 00 00 00 00 |........|........|
|000047f0| 00 0b 03 01 0a 01 00 00 | 0b 2a 26 50 6f 73 74 43 |........|.*&PostC|
|00004800| 6f 64 65 3a 00 00 00 00 | 00 00 00 0b 0e 01 0b 02 |ode:....|........|
|00004810| 00 00 00 0b 00 00 00 00 | 00 00 06 2f 01 0e 01 00 |........|.../....|
|00004820| 00 0f 2a 26 43 6f 6d 70 | 61 6e 79 20 4e 61 6d 65 |..*&Comp|any Name|
|00004830| 3a 00 00 00 00 00 00 00 | 07 30 01 1e 02 00 00 00 |:.......|.0......|
|00004840| 06 00 00 00 00 00 00 08 | 30 01 11 01 00 00 12 26 |........|0......&|
|00004850| 45 76 65 6e 69 6e 67 20 | 50 68 6f 6e 65 20 4e 6f |Evening |Phone No|
|00004860| 3a 00 00 00 00 00 00 00 | 08 41 01 0d 02 04 00 00 |:.......|.A......|
|00004870| 0e 00 00 00 00 00 00 09 | 2f 01 12 01 00 00 13 2a |........|/......*|
|00004880| 26 44 61 79 74 69 6d 65 | 20 50 68 6f 6e 65 20 4e |&Daytime| Phone N|
|00004890| 6f 3a 00 00 00 00 00 00 | 00 09 41 01 0d 02 00 00 |o:......|..A.....|
|000048a0| 00 0f 00 00 00 00 00 00 | 0d 04 01 13 01 00 00 13 |........|........|
|000048b0| 42 49 4c 4c 49 4e 47 20 | 49 4e 46 4f 52 4d 41 54 |BILLING |INFORMAT|
|000048c0| 49 4f 4e 00 00 00 00 00 | 00 00 0f 03 01 13 01 00 |ION.....|........|
|000048d0| 00 14 26 43 72 65 64 69 | 74 20 43 61 72 64 20 4e |..&Credi|t Card N|
|000048e0| 75 6d 62 65 72 3a 00 00 | 00 00 00 00 00 0f 17 01 |umber:..|........|
|000048f0| 14 02 04 00 00 13 00 00 | 00 00 00 00 10 03 01 17 |........|........|
|00004900| 01 00 00 18 26 45 78 70 | 69 72 61 74 69 6f 6e 20 |....&Exp|iration |
|00004910| 44 61 74 65 20 28 39 2f | 39 39 29 3a 00 00 00 00 |Date (9/|99):....|
|00004920| 00 00 00 10 1b 01 05 02 | 04 00 00 15 00 00 00 28 |........|.......(|
|00004930| 49 6e 76 61 6c 69 64 20 | 45 78 70 69 72 61 74 69 |Invalid |Expirati|
|00004940| 6f 6e 20 44 61 74 65 20 | 20 20 20 46 6f 72 6d 61 |on Date |   Forma|
|00004950| 74 3a 20 31 32 2f 39 39 | 00 00 0f 30 03 0b 05 10 |t: 12/99|...0....|
|00004960| 00 0a 20 50 26 72 6f 63 | 65 65 64 20 00 00 00 00 |.. P&roc|eed ....|
|00004970| 00 00 00 0f 40 03 0a 05 | 20 00 07 26 43 61 6e 63 |....@...| ..&Canc|
|00004980| 65 6c 00 00 00 00 00 00 | 00 12 03 01 0c 01 00 00 |el......|........|
|00004990| 0c 2a 20 3d 20 4f 70 74 | 69 6f 6e 61 6c 00 00 00 |.* = Opt|ional...|
|000049a0| 00 00 00 00 43 52 45 44 | 49 43 52 44 00 64 01 ff |....CRED|ICRD.d..|
|000049b0| 00 09 01 03 08 12 3c 00 | 00 00 00 00 00 00 00 00 |......<.|........|
|000049c0| 00 00 05 19 01 17 03 00 | 00 13 43 6f 6d 70 75 53 |........|..CompuS|
|000049d0| 65 72 76 65 20 4d 61 67 | 61 7a 69 6e 65 00 01 00 |erve Mag|azine...|
|000049e0| 00 00 00 00 00 07 17 01 | 1e 01 00 00 1e 52 65 63 |........|.....Rec|
|000049f0| 65 69 76 65 20 61 20 66 | 72 65 65 20 73 75 62 73 |eive a f|ree subs|
|00004a00| 63 72 69 70 74 69 6f 6e | 20 74 6f 00 00 00 00 00 |cription| to.....|
|00004a10| 00 00 08 17 01 20 01 00 | 00 20 74 68 65 20 6d 6f |..... ..|. the mo|
|00004a20| 6e 74 68 6c 79 20 43 6f | 6d 70 75 53 65 72 76 65 |nthly Co|mpuServe|
|00004a30| 20 4d 61 67 61 7a 69 6e | 65 2e 00 00 00 00 00 00 | Magazin|e.......|
|00004a40| 00 0b 16 05 21 06 00 00 | 14 4f 74 68 65 72 20 4d |....!...|.Other M|
|00004a50| 65 6d 62 65 72 20 4f 70 | 74 69 6f 6e 73 00 00 00 |ember Op|tions...|
|00004a60| 00 00 00 00 0c 18 01 1c | 03 00 00 18 4c 69 73 74 |........|....List|
|00004a70| 20 69 6e 20 4d 65 6d 62 | 65 72 20 44 69 72 65 63 | in Memb|er Direc|
|00004a80| 74 6f 72 79 00 08 00 00 | 00 00 00 00 0d 18 01 1c |tory....|........|
|00004a90| 03 00 00 18 52 65 63 65 | 69 76 65 20 50 72 6f 6d |....Rece|ive Prom|
|00004aa0| 6f 74 69 6f 6e 61 6c 20 | 4d 61 69 6c 00 04 00 00 |otional |Mail....|
|00004ab0| 00 00 00 00 0e 18 01 1d | 03 00 00 19 52 65 63 65 |........|....Rece|
|00004ac0| 69 76 65 20 45 78 74 65 | 72 6e 61 6c 20 4d 61 69 |ive Exte|rnal Mai|
|00004ad0| 6c 69 6e 67 73 00 10 00 | 00 00 00 00 00 11 16 03 |lings...|........|
|00004ae0| 0b 05 10 00 08 26 50 72 | 6f 63 65 65 64 00 00 00 |.....&Pr|oceed...|
|00004af0| 00 00 00 00 11 2c 03 0b | 05 20 00 07 26 43 61 6e |.....,..|. ..&Can|
|00004b00| 63 65 6c 00 00 00 00 00 | 00 00 4d 45 4d 42 45 52 |cel.....|..MEMBER|
|00004b10| 00 44 00 7c 02 ff 00 18 | 01 04 01 10 50 00 00 00 |.D.|....|....P...|
|00004b20| 00 00 00 00 00 00 00 00 | 06 03 01 0b 01 00 00 0c |........|........|
|00004b30| 26 46 69 72 73 74 20 4e | 61 6d 65 3a 00 00 00 00 |&First N|ame:....|
|00004b40| 00 00 00 06 0f 01 15 02 | 04 00 00 05 00 00 00 00 |........|........|
|00004b50| 00 00 07 03 01 0a 01 00 | 00 0b 26 4c 61 73 74 20 |........|..&Last |
|00004b60| 4e 61 6d 65 3a 00 00 00 | 00 00 00 00 07 0f 01 1e |Name:...|........|
|00004b70| 02 04 00 00 04 00 00 00 | 00 00 00 08 03 01 18 01 |........|........|
|00004b80| 00 00 19 26 53 74 72 65 | 65 74 20 4e 61 6d 65 20 |...&Stre|et Name |
|00004b90| 61 6e 64 20 48 6f 75 73 | 65 20 23 3a 00 00 00 00 |and Hous|e #:....|
|00004ba0| 00 00 00 09 03 01 1e 02 | 04 00 00 07 00 00 00 00 |........|........|
|00004bb0| 00 00 0a 03 01 05 01 00 | 00 06 26 43 69 74 79 3a |........|..&City:|
|00004bc0| 00 00 00 00 00 00 00 0a | 09 01 1e 02 04 00 00 09 |........|........|
|00004bd0| 00 00 00 00 00 00 0b 03 | 01 09 01 00 00 0a 26 50 |........|......&P|
|00004be0| 6f 73 74 43 6f 64 65 3a | 00 00 00 00 00 00 00 0b |ostCode:|........|
|00004bf0| 0d 01 0b 02 04 00 00 0b | 00 00 00 00 00 00 06 2f |........|......./|
|00004c00| 01 0e 01 00 00 0f 2a 26 | 43 6f 6d 70 61 6e 79 20 |......*&|Company |
|00004c10| 4e 61 6d 65 3a 00 00 00 | 00 00 00 00 07 30 01 1e |Name:...|.....0..|
|00004c20| 02 00 00 00 06 00 00 00 | 00 00 00 08 30 01 11 01 |........|....0...|
|00004c30| 00 00 12 26 45 76 65 6e | 69 6e 67 20 50 68 6f 6e |...&Even|ing Phon|
|00004c40| 65 20 4e 6f 3a 00 00 00 | 00 00 00 00 08 41 01 0d |e No:...|.....A..|
|00004c50| 02 04 00 00 0e 00 00 00 | 00 00 00 09 2f 01 12 01 |........|..../...|
|00004c60| 00 00 13 2a 26 44 61 79 | 74 69 6d 65 20 50 68 6f |...*&Day|time Pho|
|00004c70| 6e 65 20 4e 6f 3a 00 00 | 00 00 00 00 00 09 41 01 |ne No:..|......A.|
|00004c80| 0d 02 00 00 00 0f 00 00 | 00 00 00 00 0d 04 01 13 |........|........|
|00004c90| 01 00 00 13 42 49 4c 4c | 49 4e 47 20 49 4e 46 4f |....BILL|ING INFO|
|00004ca0| 52 4d 41 54 49 4f 4e 00 | 00 00 00 00 00 00 0f 04 |RMATION.|........|
|00004cb0| 01 13 01 00 00 14 26 43 | 72 65 64 69 74 20 43 61 |......&C|redit Ca|
|00004cc0| 72 64 20 4e 75 6d 62 65 | 72 3a 00 00 00 00 00 00 |rd Numbe|r:......|
|00004cd0| 00 0f 18 01 14 02 04 00 | 00 13 00 00 00 00 00 00 |........|........|
|00004ce0| 10 04 01 17 01 00 00 18 | 26 45 78 70 69 72 61 74 |........|&Expirat|
|00004cf0| 69 6f 6e 20 44 61 74 65 | 20 28 39 2f 39 39 29 3a |ion Date| (9/99):|
|00004d00| 00 00 00 00 00 00 00 10 | 1c 01 05 02 04 00 00 15 |........|........|
|00004d10| 00 00 00 28 49 6e 76 61 | 6c 69 64 20 45 78 70 69 |...(Inva|lid Expi|
|00004d20| 72 61 74 69 6f 6e 20 44 | 61 74 65 20 20 20 20 46 |ration D|ate    F|
|00004d30| 6f 72 6d 61 74 3a 20 31 | 32 2f 39 39 00 00 0f 30 |ormat: 1|2/99...0|
|00004d40| 03 0b 05 10 00 0a 20 50 | 26 72 6f 63 65 65 64 20 |...... P|&roceed |
|00004d50| 00 00 00 00 00 00 00 0f | 40 03 0a 05 20 00 07 26 |........|@... ..&|
|00004d60| 43 61 6e 63 65 6c 00 00 | 00 00 00 00 00 12 04 01 |Cancel..|........|
|00004d70| 0c 01 00 00 0c 2a 20 3d | 20 4f 70 74 69 6f 6e 61 |.....* =| Optiona|
|00004d80| 6c 00 00 00 00 00 00 00 | 43 52 45 44 49 43 52 44 |l.......|CREDICRD|
|00004d90| 00 64 01 ff 00 09 01 03 | 08 12 3c 00 00 00 00 00 |.d......|..<.....|
|00004da0| 00 00 00 00 00 00 05 19 | 01 17 03 00 00 13 43 6f |........|......Co|
|00004db0| 6d 70 75 53 65 72 76 65 | 20 4d 61 67 61 7a 69 6e |mpuServe| Magazin|
|00004dc0| 65 00 01 00 00 00 00 00 | 00 07 17 01 1e 01 00 00 |e.......|........|
|00004dd0| 1e 52 65 63 65 69 76 65 | 20 61 20 66 72 65 65 20 |.Receive| a free |
|00004de0| 73 75 62 73 63 72 69 70 | 74 69 6f 6e 20 74 6f 00 |subscrip|tion to.|
|00004df0| 00 00 00 00 00 00 08 17 | 01 20 01 00 00 20 74 68 |........|. ... th|
|00004e00| 65 20 6d 6f 6e 74 68 6c | 79 20 43 6f 6d 70 75 53 |e monthl|y CompuS|
|00004e10| 65 72 76 65 20 4d 61 67 | 61 7a 69 6e 65 2e 00 00 |erve Mag|azine...|
|00004e20| 00 00 00 00 00 0b 16 05 | 21 06 00 00 14 4f 74 68 |........|!....Oth|
|00004e30| 65 72 20 4d 65 6d 62 65 | 72 20 4f 70 74 69 6f 6e |er Membe|r Option|
|00004e40| 73 00 00 00 00 00 00 00 | 0c 18 01 1c 03 00 00 18 |s.......|........|
|00004e50| 4c 69 73 74 20 69 6e 20 | 4d 65 6d 62 65 72 20 44 |List in |Member D|
|00004e60| 69 72 65 63 74 6f 72 79 | 00 08 00 00 00 00 00 00 |irectory|........|
|00004e70| 0d 18 01 1c 03 00 00 18 | 52 65 63 65 69 76 65 20 |........|Receive |
|00004e80| 50 72 6f 6d 6f 74 69 6f | 6e 61 6c 20 4d 61 69 6c |Promotio|nal Mail|
|00004e90| 00 04 00 00 00 00 00 00 | 0e 18 01 1d 03 00 00 19 |........|........|
|00004ea0| 52 65 63 65 69 76 65 20 | 45 78 74 65 72 6e 61 6c |Receive |External|
|00004eb0| 20 4d 61 69 6c 69 6e 67 | 73 00 10 00 00 00 00 00 | Mailing|s.......|
|00004ec0| 00 11 16 03 0b 05 10 00 | 08 26 50 72 6f 63 65 65 |........|.&Procee|
|00004ed0| 64 00 00 00 00 00 00 00 | 11 2c 03 0b 05 20 00 07 |d.......|.,... ..|
|00004ee0| 26 43 61 6e 63 65 6c 00 | 00 00 00 00 00 00 4d 45 |&Cancel.|......ME|
|00004ef0| 4d 42 45 52 00 44 00 a2 | 03 ff 00 28 01 04 01 12 |MBER.D..|...(....|
|00004f00| 50 00 00 00 00 00 00 00 | 00 00 00 00 05 03 01 0b |P.......|........|
|00004f10| 01 00 00 0c 26 46 69 72 | 73 74 20 4e 61 6d 65 3a |....&Fir|st Name:|
|00004f20| 00 00 00 00 00 00 00 05 | 0f 01 15 02 04 00 00 05 |........|........|
|00004f30| 00 00 00 00 00 00 06 03 | 01 0a 01 00 00 0b 26 4c |........|......&L|
|00004f40| 61 73 74 20 4e 61 6d 65 | 3a 00 00 00 00 00 00 00 |ast Name|:.......|
|00004f50| 06 0e 01 1e 02 04 00 00 | 04 00 00 00 00 00 00 07 |........|........|
|00004f60| 03 01 18 01 00 00 19 26 | 53 74 72 65 65 74 20 4e |.......&|Street N|
|00004f70| 61 6d 65 20 61 6e 64 20 | 48 6f 75 73 65 20 23 3a |ame and |House #:|
|00004f80| 00 00 00 00 00 00 00 08 | 03 01 1e 02 04 00 00 07 |........|........|
|00004f90| 00 00 00 00 00 00 09 03 | 01 09 01 00 00 0a 26 50 |........|......&P|
|00004fa0| 6f 73 74 43 6f 64 65 3a | 00 00 00 00 00 00 00 09 |ostCode:|........|
|00004fb0| 0d 01 0b 02 04 00 00 0b | 00 00 00 00 00 00 0a 03 |........|........|
|00004fc0| 01 0a 01 00 00 0b 26 54 | 6f 77 6e 2f 43 69 74 79 |......&T|own/City|
|00004fd0| 3a 00 00 00 00 00 00 00 | 0a 0e 01 1e 02 04 00 00 |:.......|........|
|00004fe0| 09 00 00 00 00 00 00 05 | 30 01 0d 01 00 00 0e 26 |........|0......&|
|00004ff0| 43 6f 6d 70 61 6e 79 20 | 4e 61 6d 65 3a 00 00 00 |Company |Name:...|
|00005000| 00 00 00 00 06 30 01 1e | 02 04 00 00 06 00 00 00 |.....0..|........|
|00005010| 00 00 00 07 2f 01 1b 01 | 00 00 1c 2a 26 44 69 76 |..../...|...*&Div|
|00005020| 69 73 69 6f 6e 20 6f 72 | 20 53 75 62 73 69 64 69 |ision or| Subsidi|
|00005030| 61 72 79 20 6f 66 3a 00 | 00 00 00 00 00 00 08 30 |ary of:.|.......0|
|00005040| 01 1e 02 00 00 00 1c 00 | 00 00 00 00 00 09 30 01 |........|......0.|
|00005050| 11 01 00 00 12 26 45 76 | 65 6e 69 6e 67 20 50 68 |.....&Ev|ening Ph|
|00005060| 6f 6e 65 20 4e 72 3a 00 | 00 00 00 00 00 00 09 42 |one Nr:.|.......B|
|00005070| 01 0d 02 04 00 00 0e 00 | 00 00 00 00 00 0a 30 01 |........|......0.|
|00005080| 11 01 00 00 12 26 44 61 | 79 74 69 6d 65 20 50 68 |.....&Da|ytime Ph|
|00005090| 6f 6e 65 20 4e 72 3a 00 | 00 00 00 00 00 00 0a 42 |one Nr:.|.......B|
|000050a0| 01 0d 02 04 00 00 0f 00 | 00 00 00 00 00 0c 10 01 |........|........|
|000050b0| 0e 01 00 00 0e 42 61 6e | 6b 20 52 65 66 65 72 65 |.....Ban|k Refere|
|000050c0| 6e 63 65 00 00 00 00 00 | 00 00 0d 03 01 0a 01 00 |nce.....|........|
|000050d0| 00 0b 26 42 61 6e 6b 20 | 4e 61 6d 65 3a 00 00 00 |..&Bank |Name:...|
|000050e0| 00 00 00 00 0d 0e 01 1e | 02 04 00 00 14 00 00 00 |........|........|
|000050f0| 00 00 00 0e 03 01 18 01 | 00 00 19 26 53 74 72 65 |........|...&Stre|
|00005100| 65 74 20 4e 61 6d 65 20 | 61 6e 64 20 48 6f 75 73 |et Name |and Hous|
|00005110| 65 20 23 3a 00 00 00 00 | 00 00 00 0f 03 01 1e 02 |e #:....|........|
|00005120| 04 00 00 2a 00 00 00 00 | 00 00 10 03 01 09 01 00 |...*....|........|
|00005130| 00 0a 26 50 6f 73 74 43 | 6f 64 65 3a 00 00 00 00 |..&PostC|ode:....|
|00005140| 00 00 00 10 0d 01 0b 02 | 04 00 00 2d 00 00 00 00 |........|...-....|
|00005150| 00 00 11 03 01 0a 01 00 | 00 0b 26 54 6f 77 6e 2f |........|..&Town/|
|00005160| 43 69 74 79 3a 00 00 00 | 00 00 00 00 11 0e 01 1e |City:...|........|
|00005170| 02 04 00 00 2b 00 00 00 | 00 00 00 12 03 01 10 01 |....+...|........|
|00005180| 00 00 11 26 42 61 6e 6b | 20 43 6f 64 65 20 28 42 |...&Bank| Code (B|
|00005190| 4c 5a 29 3a 00 00 00 00 | 00 00 00 12 14 01 0f 02 |LZ):....|........|
|000051a0| 04 00 00 81 00 00 14 00 | 00 00 13 03 01 0a 01 00 |........|........|
|000051b0| 00 0b 26 41 63 63 74 2e | 20 4e 6f 2e 3a 00 00 00 |..&Acct.| No.:...|
|000051c0| 00 00 00 00 13 0e 01 14 | 02 04 00 00 13 00 00 00 |........|........|
|000051d0| 00 00 00 0d 31 01 07 01 | 00 00 08 2a 26 50 68 6f |....1...|...*&Pho|
|000051e0| 6e 65 3a 00 00 00 00 00 | 00 00 0d 39 01 0d 02 00 |ne:.....|...9....|
|000051f0| 00 00 30 00 00 00 00 00 | 00 0e 31 01 08 01 00 00 |..0.....|..1.....|
|00005200| 09 2a 26 42 72 61 6e 63 | 68 3a 00 00 00 00 00 00 |.*&Branc|h:......|
|00005210| 00 0f 31 01 1e 02 00 00 | 00 2e 00 00 00 00 00 00 |..1.....|........|
|00005220| 10 31 01 09 01 00 00 0a | 2a 26 43 6f 6e 74 61 63 |.1......|*&Contac|
|00005230| 74 3a 00 00 00 00 00 00 | 00 11 31 01 1e 02 00 00 |t:......|..1.....|
|00005240| 00 2f 00 00 00 00 00 00 | 12 31 03 0b 05 10 00 0a |./......|.1......|
|00005250| 20 50 26 72 6f 63 65 65 | 64 20 00 00 00 00 00 00 | P&rocee|d ......|
|00005260| 00 12 41 03 0a 05 20 00 | 07 26 43 61 6e 63 65 6c |..A... .|.&Cancel|
|00005270| 00 00 00 00 00 00 00 14 | 03 01 0c 01 00 00 0c 2a |........|.......*|
|00005280| 20 3d 20 4f 70 74 69 6f | 6e 61 6c 00 00 00 00 00 | = Optio|nal.....|
|00005290| 00 00 43 42 41 31 00 52 | 00 44 00 16 03 ff 00 1e |..CBA1.R|.D......|
|000052a0| 1c 04 01 12 50 00 00 00 | 00 00 00 00 00 00 00 00 |....P...|........|
|000052b0| 05 04 01 21 01 00 00 21 | 41 44 4d 49 4e 49 53 54 |...!...!|ADMINIST|
|000052c0| 52 41 54 4f 52 20 41 43 | 43 4f 55 4e 54 20 49 4e |RATOR AC|COUNT IN|
|000052d0| 46 4f 52 4d 41 54 49 4f | 4e 00 00 00 00 00 00 00 |FORMATIO|N.......|
|000052e0| 07 03 01 0b 01 00 00 0c | 26 46 69 72 73 74 20 4e |........|&First N|
|000052f0| 61 6d 65 3a 00 00 00 00 | 00 00 00 07 0f 01 15 02 |ame:....|........|
|00005300| 04 00 00 1e 00 00 00 00 | 00 00 08 03 01 0a 01 00 |........|........|
|00005310| 00 0b 26 4c 61 73 74 20 | 4e 61 6d 65 3a 00 00 00 |..&Last |Name:...|
|00005320| 00 00 00 00 08 0e 01 1e | 02 04 00 00 1d 00 00 00 |........|........|
|00005330| 00 00 00 09 03 01 18 01 | 00 00 19 26 53 74 72 65 |........|...&Stre|
|00005340| 65 74 20 4e 61 6d 65 20 | 61 6e 64 20 48 6f 75 73 |et Name |and Hous|
|00005350| 65 20 23 3a 00 00 00 00 | 00 00 00 0a 03 01 1e 02 |e #:....|........|
|00005360| 04 00 00 1f 00 00 00 00 | 00 00 0b 03 01 09 01 00 |........|........|
|00005370| 00 0a 26 50 6f 73 74 43 | 6f 64 65 3a 00 00 00 00 |..&PostC|ode:....|
|00005380| 00 00 00 0b 0d 01 0b 02 | 04 00 00 22 00 00 00 13 |........|..."....|
|00005390| 49 6e 76 61 6c 69 64 20 | 50 6f 73 74 61 6c 20 43 |Invalid |Postal C|
|000053a0| 6f 64 65 00 00 0c 03 01 | 0a 01 00 00 0b 26 54 6f |ode.....|.....&To|
|000053b0| 77 6e 2f 43 69 74 79 3a | 00 00 00 00 00 00 00 0c |wn/City:|........|
|000053c0| 0e 01 1e 02 04 00 00 20 | 00 00 00 00 00 00 07 2e |....... |........|
|000053d0| 01 12 01 00 00 13 2a 26 | 50 75 72 63 68 61 73 65 |......*&|Purchase|
|000053e0| 20 4f 72 64 65 72 20 23 | 3a 00 00 00 00 00 00 00 | Order #|:.......|
|000053f0| 07 41 01 0f 02 00 00 00 | 25 00 00 00 00 00 00 08 |.A......|%.......|
|00005400| 2f 01 15 01 00 00 16 26 | 43 6f 6d 70 61 6e 79 20 |/......&|Company |
|00005410| 52 65 67 2e 20 23 20 28 | 48 52 42 29 3a 00 00 00 |Reg. # (|HRB):...|
|00005420| 00 00 00 00 08 45 01 08 | 02 04 00 00 80 00 00 00 |.....E..|........|
|00005430| 00 00 00 09 2f 01 09 01 | 00 00 0a 26 50 68 6f 6e |..../...|...&Phon|
|00005440| 65 20 4e 72 3a 00 00 00 | 00 00 00 00 09 39 01 0d |e Nr:...|.....9..|
|00005450| 02 04 00 00 23 00 00 00 | 00 00 00 0e 08 05 17 06 |....#...|........|
|00005460| 00 00 12 20 46 6f 72 6d | 20 6f 66 20 42 75 73 69 |... Form| of Busi|
|00005470| 6e 65 73 73 20 00 00 00 | 00 00 00 00 0f 09 01 13 |ness ...|........|
|00005480| 04 02 00 0f 53 6f 6c 65 | 20 50 72 6f 70 72 69 65 |....Sole| Proprie|
|00005490| 74 6f 72 26 01 00 00 00 | 00 00 00 10 09 01 0f 04 |tor&....|........|
|000054a0| 00 00 0b 43 6f 72 70 6f | 72 61 74 69 6f 6e 26 02 |...Corpo|ration&.|
|000054b0| 00 00 00 00 00 00 11 09 | 01 0f 04 80 00 0b 50 61 |........|......Pa|
|000054c0| 72 74 6e 65 72 73 68 69 | 70 26 03 00 00 00 00 00 |rtnershi|p&......|
|000054d0| 00 0d 2e 01 11 01 00 00 | 12 26 4b 69 6e 64 20 6f |........|.&Kind o|
|000054e0| 66 20 42 75 73 69 6e 65 | 73 73 3a 00 00 00 00 00 |f Busine|ss:.....|
|000054f0| 00 00 0e 2e 01 1e 02 04 | 00 00 28 00 00 00 00 00 |........|..(.....|
|00005500| 00 0f 2e 01 14 01 00 00 | 15 26 4e 75 6d 62 65 72 |........|.&Number|
|00005510| 20 6f 66 20 45 6d 70 6c | 6f 79 65 65 73 3a 00 00 | of Empl|oyees:..|
|00005520| 00 00 00 00 00 0f 43 01 | 05 02 04 00 00 29 00 01 |......C.|.....)..|
|00005530| 00 00 00 00 10 2e 01 0d | 01 00 00 0e 26 44 61 74 |........|....&Dat|
|00005540| 65 20 53 74 61 72 74 65 | 64 3a 00 00 00 00 00 00 |e Starte|d:......|
|00005550| 00 10 3c 01 08 02 04 00 | 00 27 00 00 00 00 00 00 |..<.....|.'......|
|00005560| 12 31 03 0b 05 10 00 0a | 20 50 26 72 6f 63 65 65 |.1......| P&rocee|
|00005570| 64 20 00 00 00 00 00 00 | 00 12 3f 03 0a 05 20 00 |d ......|..?... .|
|00005580| 07 26 43 61 6e 63 65 6c | 00 00 00 00 00 00 00 14 |.&Cancel|........|
|00005590| 03 01 0c 01 00 00 0c 2a | 20 3d 20 4f 70 74 69 6f |.......*| = Optio|
|000055a0| 6e 61 6c 00 00 00 00 00 | 00 00 43 42 41 32 00 52 |nal.....|..CBA2.R|
|000055b0| 00 44 00 64 01 ff 00 09 | 01 03 08 12 3c 00 00 00 |.D.d....|....<...|
|000055c0| 00 00 00 00 00 00 00 00 | 05 19 01 17 03 00 00 13 |........|........|
|000055d0| 43 6f 6d 70 75 53 65 72 | 76 65 20 4d 61 67 61 7a |CompuSer|ve Magaz|
|000055e0| 69 6e 65 00 01 00 00 00 | 00 00 00 07 17 01 1e 01 |ine.....|........|
|000055f0| 00 00 1e 52 65 63 65 69 | 76 65 20 61 20 66 72 65 |...Recei|ve a fre|
|00005600| 65 20 73 75 62 73 63 72 | 69 70 74 69 6f 6e 20 74 |e subscr|iption t|
|00005610| 6f 00 00 00 00 00 00 00 | 08 17 01 20 01 00 00 20 |o.......|... ... |
|00005620| 74 68 65 20 6d 6f 6e 74 | 68 6c 79 20 43 6f 6d 70 |the mont|hly Comp|
|00005630| 75 53 65 72 76 65 20 4d | 61 67 61 7a 69 6e 65 2e |uServe M|agazine.|
|00005640| 00 00 00 00 00 00 00 0b | 16 05 21 06 00 00 14 4f |........|..!....O|
|00005650| 74 68 65 72 20 4d 65 6d | 62 65 72 20 4f 70 74 69 |ther Mem|ber Opti|
|00005660| 6f 6e 73 00 00 00 00 00 | 00 00 0c 18 01 1c 03 00 |ons.....|........|
|00005670| 00 18 4c 69 73 74 20 69 | 6e 20 4d 65 6d 62 65 72 |..List i|n Member|
|00005680| 20 44 69 72 65 63 74 6f | 72 79 00 08 00 00 00 00 | Directo|ry......|
|00005690| 00 00 0d 18 01 1c 03 00 | 00 18 52 65 63 65 69 76 |........|..Receiv|
|000056a0| 65 20 50 72 6f 6d 6f 74 | 69 6f 6e 61 6c 20 4d 61 |e Promot|ional Ma|
|000056b0| 69 6c 00 04 00 00 00 00 | 00 00 0e 18 01 1d 03 00 |il......|........|
|000056c0| 00 19 52 65 63 65 69 76 | 65 20 45 78 74 65 72 6e |..Receiv|e Extern|
|000056d0| 61 6c 20 4d 61 69 6c 69 | 6e 67 73 00 10 00 00 00 |al Maili|ngs.....|
|000056e0| 00 00 00 11 16 03 0b 05 | 10 00 08 26 50 72 6f 63 |........|...&Proc|
|000056f0| 65 65 64 00 00 00 00 00 | 00 00 11 2c 03 0b 05 20 |eed.....|...,... |
|00005700| 00 07 26 43 61 6e 63 65 | 6c 00 00 00 00 00 00 00 |..&Cance|l.......|
|00005710| 4d 45 4d 42 45 52 00 44 | 00 7c 02 ff 00 18 01 04 |MEMBER.D|.|......|
|00005720| 01 10 50 00 00 00 00 00 | 00 00 00 00 00 00 06 03 |..P.....|........|
|00005730| 01 0b 01 00 00 0c 26 46 | 69 72 73 74 20 4e 61 6d |......&F|irst Nam|
|00005740| 65 3a 00 00 00 00 00 00 | 00 06 0f 01 15 02 04 00 |e:......|........|
|00005750| 00 05 00 00 00 00 00 00 | 07 03 01 0a 01 00 00 0b |........|........|
|00005760| 26 4c 61 73 74 20 4e 61 | 6d 65 3a 00 00 00 00 00 |&Last Na|me:.....|
|00005770| 00 00 07 0f 01 1e 02 04 | 00 00 04 00 00 00 00 00 |........|........|
|00005780| 00 08 03 01 18 01 00 00 | 19 26 53 74 72 65 65 74 |........|.&Street|
|00005790| 20 4e 61 6d 65 20 61 6e | 64 20 48 6f 75 73 65 20 | Name an|d House |
|000057a0| 23 3a 00 00 00 00 00 00 | 00 09 03 01 1e 02 04 00 |#:......|........|
|000057b0| 00 07 00 00 00 00 00 00 | 0a 03 01 05 01 00 00 06 |........|........|
|000057c0| 26 43 69 74 79 3a 00 00 | 00 00 00 00 00 0a 09 01 |&City:..|........|
|000057d0| 1e 02 04 00 00 09 00 00 | 00 00 00 00 0b 03 01 09 |........|........|
|000057e0| 01 00 00 0a 26 50 6f 73 | 74 43 6f 64 65 3a 00 00 |....&Pos|tCode:..|
|000057f0| 00 00 00 00 00 0b 0d 01 | 0b 02 04 00 00 0b 00 00 |........|........|
|00005800| 00 00 00 00 06 2f 01 0e | 01 00 00 0f 2a 26 43 6f |...../..|....*&Co|
|00005810| 6d 70 61 6e 79 20 4e 61 | 6d 65 3a 00 00 00 00 00 |mpany Na|me:.....|
|00005820| 00 00 07 30 01 1e 02 00 | 00 00 06 00 00 00 00 00 |...0....|........|
|00005830| 00 08 30 01 11 01 00 00 | 12 26 45 76 65 6e 69 6e |..0.....|.&Evenin|
|00005840| 67 20 50 68 6f 6e 65 20 | 4e 6f 3a 00 00 00 00 00 |g Phone |No:.....|
|00005850| 00 00 08 41 01 0d 02 04 | 00 00 0e 00 00 00 00 00 |...A....|........|
|00005860| 00 09 2f 01 12 01 00 00 | 13 2a 26 44 61 79 74 69 |../.....|.*&Dayti|
|00005870| 6d 65 20 50 68 6f 6e 65 | 20 4e 6f 3a 00 00 00 00 |me Phone| No:....|
|00005880| 00 00 00 09 41 01 0d 02 | 00 00 00 0f 00 00 00 00 |....A...|........|
|00005890| 00 00 0d 04 01 13 01 00 | 00 13 42 49 4c 4c 49 4e |........|..BILLIN|
|000058a0| 47 20 49 4e 46 4f 52 4d | 41 54 49 4f 4e 00 00 00 |G INFORM|ATION...|
|000058b0| 00 00 00 00 0f 04 01 13 | 01 00 00 14 26 43 72 65 |........|....&Cre|
|000058c0| 64 69 74 20 43 61 72 64 | 20 4e 75 6d 62 65 72 3a |dit Card| Number:|
|000058d0| 00 00 00 00 00 00 00 0f | 18 01 14 02 04 00 00 13 |........|........|
|000058e0| 00 00 00 00 00 00 10 04 | 01 17 01 00 00 18 26 45 |........|......&E|
|000058f0| 78 70 69 72 61 74 69 6f | 6e 20 44 61 74 65 20 28 |xpiratio|n Date (|
|00005900| 39 2f 39 39 29 3a 00 00 | 00 00 00 00 00 10 1c 01 |9/99):..|........|
|00005910| 05 02 04 00 00 15 00 00 | 00 28 49 6e 76 61 6c 69 |........|.(Invali|
|00005920| 64 20 45 78 70 69 72 61 | 74 69 6f 6e 20 44 61 74 |d Expira|tion Dat|
|00005930| 65 20 20 20 20 46 6f 72 | 6d 61 74 3a 20 31 32 2f |e    For|mat: 12/|
|00005940| 39 39 00 00 0f 30 03 0b | 05 10 00 0a 20 50 26 72 |99...0..|.... P&r|
|00005950| 6f 63 65 65 64 20 00 00 | 00 00 00 00 00 0f 40 03 |oceed ..|......@.|
|00005960| 0a 05 20 00 07 26 43 61 | 6e 63 65 6c 00 00 00 00 |.. ..&Ca|ncel....|
|00005970| 00 00 00 12 04 01 0c 01 | 00 00 0c 2a 20 3d 20 4f |........|...* = O|
|00005980| 70 74 69 6f 6e 61 6c 00 | 00 00 00 00 00 00 43 52 |ptional.|......CR|
|00005990| 45 44 49 43 52 44 00 64 | 01 ff 00 09 01 03 08 12 |EDICRD.d|........|
|000059a0| 3c 00 00 00 00 00 00 00 | 00 00 00 00 05 19 01 17 |<.......|........|
|000059b0| 03 00 00 13 43 6f 6d 70 | 75 53 65 72 76 65 20 4d |....Comp|uServe M|
|000059c0| 61 67 61 7a 69 6e 65 00 | 01 00 00 00 00 00 00 07 |agazine.|........|
|000059d0| 17 01 1e 01 00 00 1e 52 | 65 63 65 69 76 65 20 61 |.......R|eceive a|
|000059e0| 20 66 72 65 65 20 73 75 | 62 73 63 72 69 70 74 69 | free su|bscripti|
|000059f0| 6f 6e 20 74 6f 00 00 00 | 00 00 00 00 08 17 01 20 |on to...|....... |
|00005a00| 01 00 00 20 74 68 65 20 | 6d 6f 6e 74 68 6c 79 20 |... the |monthly |
|00005a10| 43 6f 6d 70 75 53 65 72 | 76 65 20 4d 61 67 61 7a |CompuSer|ve Magaz|
|00005a20| 69 6e 65 2e 00 00 00 00 | 00 00 00 0b 16 05 21 06 |ine.....|......!.|
|00005a30| 00 00 14 4f 74 68 65 72 | 20 4d 65 6d 62 65 72 20 |...Other| Member |
|00005a40| 4f 70 74 69 6f 6e 73 00 | 00 00 00 00 00 00 0c 18 |Options.|........|
|00005a50| 01 1c 03 00 00 18 4c 69 | 73 74 20 69 6e 20 4d 65 |......Li|st in Me|
|00005a60| 6d 62 65 72 20 44 69 72 | 65 63 74 6f 72 79 00 08 |mber Dir|ectory..|
|00005a70| 00 00 00 00 00 00 0d 18 | 01 1c 03 00 00 18 52 65 |........|......Re|
|00005a80| 63 65 69 76 65 20 50 72 | 6f 6d 6f 74 69 6f 6e 61 |ceive Pr|omotiona|
|00005a90| 6c 20 4d 61 69 6c 00 04 | 00 00 00 00 00 00 0e 18 |l Mail..|........|
|00005aa0| 01 1d 03 00 00 19 52 65 | 63 65 69 76 65 20 45 78 |......Re|ceive Ex|
|00005ab0| 74 65 72 6e 61 6c 20 4d | 61 69 6c 69 6e 67 73 00 |ternal M|ailings.|
|00005ac0| 10 00 00 00 00 00 00 11 | 16 03 0b 05 10 00 08 26 |........|.......&|
|00005ad0| 50 72 6f 63 65 65 64 00 | 00 00 00 00 00 00 11 2c |Proceed.|.......,|
|00005ae0| 03 0b 05 20 00 07 26 43 | 61 6e 63 65 6c 00 00 00 |... ..&C|ancel...|
|00005af0| 00 00 00 00 4d 45 4d 42 | 45 52 00 44 00 a2 03 ff |....MEMB|ER.D....|
|00005b00| 00 28 01 04 01 12 50 00 | 00 00 00 00 00 00 00 00 |.(....P.|........|
|00005b10| 00 00 05 03 01 0b 01 00 | 00 0c 26 46 69 72 73 74 |........|..&First|
|00005b20| 20 4e 61 6d 65 3a 00 00 | 00 00 00 00 00 05 0f 01 | Name:..|........|
|00005b30| 15 02 04 00 00 05 00 00 | 00 00 00 00 06 03 01 0a |........|........|
|00005b40| 01 00 00 0b 26 4c 61 73 | 74 20 4e 61 6d 65 3a 00 |....&Las|t Name:.|
|00005b50| 00 00 00 00 00 00 06 0e | 01 1e 02 04 00 00 04 00 |........|........|
|00005b60| 00 00 00 00 00 07 03 01 | 18 01 00 00 19 26 53 74 |........|.....&St|
|00005b70| 72 65 65 74 20 4e 61 6d | 65 20 61 6e 64 20 48 6f |reet Nam|e and Ho|
|00005b80| 75 73 65 20 23 3a 00 00 | 00 00 00 00 00 08 03 01 |use #:..|........|
|00005b90| 1e 02 04 00 00 07 00 00 | 00 00 00 00 09 03 01 09 |........|........|
|00005ba0| 01 00 00 0a 26 50 6f 73 | 74 43 6f 64 65 3a 00 00 |....&Pos|tCode:..|
|00005bb0| 00 00 00 00 00 09 0d 01 | 0b 02 04 00 00 0b 00 00 |........|........|
|00005bc0| 00 00 00 00 0a 03 01 0a | 01 00 00 0b 26 54 6f 77 |........|....&Tow|
|00005bd0| 6e 2f 43 69 74 79 3a 00 | 00 00 00 00 00 00 0a 0e |n/City:.|........|
|00005be0| 01 1e 02 04 00 00 09 00 | 00 00 00 00 00 05 30 01 |........|......0.|
|00005bf0| 0d 01 00 00 0e 26 43 6f | 6d 70 61 6e 79 20 4e 61 |.....&Co|mpany Na|
|00005c00| 6d 65 3a 00 00 00 00 00 | 00 00 06 30 01 1e 02 04 |me:.....|...0....|
|00005c10| 00 00 06 00 00 00 00 00 | 00 07 2f 01 1b 01 00 00 |........|../.....|
|00005c20| 1c 2a 26 44 69 76 69 73 | 69 6f 6e 20 6f 72 20 53 |.*&Divis|ion or S|
|00005c30| 75 62 73 69 64 69 61 72 | 79 20 6f 66 3a 00 00 00 |ubsidiar|y of:...|
|00005c40| 00 00 00 00 08 30 01 1e | 02 00 00 00 1c 00 00 00 |.....0..|........|
|00005c50| 00 00 00 09 30 01 11 01 | 00 00 12 26 45 76 65 6e |....0...|...&Even|
|00005c60| 69 6e 67 20 50 68 6f 6e | 65 20 4e 72 3a 00 00 00 |ing Phon|e Nr:...|
|00005c70| 00 00 00 00 09 42 01 0d | 02 04 00 00 0e 00 00 00 |.....B..|........|
|00005c80| 00 00 00 0a 30 01 11 01 | 00 00 12 26 44 61 79 74 |....0...|...&Dayt|
|00005c90| 69 6d 65 20 50 68 6f 6e | 65 20 4e 72 3a 00 00 00 |ime Phon|e Nr:...|
|00005ca0| 00 00 00 00 0a 42 01 0d | 02 04 00 00 0f 00 00 00 |.....B..|........|
|00005cb0| 00 00 00 0c 10 01 0e 01 | 00 00 0e 42 61 6e 6b 20 |........|...Bank |
|00005cc0| 52 65 66 65 72 65 6e 63 | 65 00 00 00 00 00 00 00 |Referenc|e.......|
|00005cd0| 0d 03 01 0a 01 00 00 0b | 26 42 61 6e 6b 20 4e 61 |........|&Bank Na|
|00005ce0| 6d 65 3a 00 00 00 00 00 | 00 00 0d 0e 01 1e 02 04 |me:.....|........|
|00005cf0| 00 00 14 00 00 00 00 00 | 00 0e 03 01 18 01 00 00 |........|........|
|00005d00| 19 26 53 74 72 65 65 74 | 20 4e 61 6d 65 20 61 6e |.&Street| Name an|
|00005d10| 64 20 48 6f 75 73 65 20 | 23 3a 00 00 00 00 00 00 |d House |#:......|
|00005d20| 00 0f 03 01 1e 02 04 00 | 00 2a 00 00 00 00 00 00 |........|.*......|
|00005d30| 10 03 01 09 01 00 00 0a | 26 50 6f 73 74 43 6f 64 |........|&PostCod|
|00005d40| 65 3a 00 00 00 00 00 00 | 00 10 0d 01 0b 02 04 00 |e:......|........|
|00005d50| 00 2d 00 00 00 00 00 00 | 11 03 01 0a 01 00 00 0b |.-......|........|
|00005d60| 26 54 6f 77 6e 2f 43 69 | 74 79 3a 00 00 00 00 00 |&Town/Ci|ty:.....|
|00005d70| 00 00 11 0e 01 1e 02 04 | 00 00 2b 00 00 00 00 00 |........|..+.....|
|00005d80| 00 12 03 01 10 01 00 00 | 11 26 42 61 6e 6b 20 43 |........|.&Bank C|
|00005d90| 6f 64 65 20 28 42 4c 5a | 29 3a 00 00 00 00 00 00 |ode (BLZ|):......|
|00005da0| 00 12 14 01 0f 02 04 00 | 00 81 00 00 14 00 00 00 |........|........|
|00005db0| 13 03 01 0a 01 00 00 0b | 26 41 63 63 74 2e 20 4e |........|&Acct. N|
|00005dc0| 6f 2e 3a 00 00 00 00 00 | 00 00 13 0e 01 14 02 04 |o.:.....|........|
|00005dd0| 00 00 13 00 00 00 00 00 | 00 0d 31 01 07 01 00 00 |........|..1.....|
|00005de0| 08 2a 26 50 68 6f 6e 65 | 3a 00 00 00 00 00 00 00 |.*&Phone|:.......|
|00005df0| 0d 39 01 0d 02 00 00 00 | 30 00 00 00 00 00 00 0e |.9......|0.......|
|00005e00| 31 01 08 01 00 00 09 2a | 26 42 72 61 6e 63 68 3a |1......*|&Branch:|
|00005e10| 00 00 00 00 00 00 00 0f | 31 01 1e 02 00 00 00 2e |........|1.......|
|00005e20| 00 00 00 00 00 00 10 31 | 01 09 01 00 00 0a 2a 26 |.......1|......*&|
|00005e30| 43 6f 6e 74 61 63 74 3a | 00 00 00 00 00 00 00 11 |Contact:|........|
|00005e40| 31 01 1e 02 00 00 00 2f | 00 00 00 00 00 00 12 31 |1....../|.......1|
|00005e50| 03 0b 05 10 00 0a 20 50 | 26 72 6f 63 65 65 64 20 |...... P|&roceed |
|00005e60| 00 00 00 00 00 00 00 12 | 41 03 0a 05 20 00 07 26 |........|A... ..&|
|00005e70| 43 61 6e 63 65 6c 00 00 | 00 00 00 00 00 14 03 01 |Cancel..|........|
|00005e80| 0c 01 00 00 0c 2a 20 3d | 20 4f 70 74 69 6f 6e 61 |.....* =| Optiona|
|00005e90| 6c 00 00 00 00 00 00 00 | 43 42 41 31 00 52 00 44 |l.......|CBA1.R.D|
|00005ea0| 00 16 03 ff 00 1e 1c 04 | 01 12 50 00 00 00 00 00 |........|..P.....|
|00005eb0| 00 00 00 00 00 00 05 04 | 01 21 01 00 00 21 41 44 |........|.!...!AD|
|00005ec0| 4d 49 4e 49 53 54 52 41 | 54 4f 52 20 41 43 43 4f |MINISTRA|TOR ACCO|
|00005ed0| 55 4e 54 20 49 4e 46 4f | 52 4d 41 54 49 4f 4e 00 |UNT INFO|RMATION.|
|00005ee0| 00 00 00 00 00 00 07 03 | 01 0b 01 00 00 0c 26 46 |........|......&F|
|00005ef0| 69 72 73 74 20 4e 61 6d | 65 3a 00 00 00 00 00 00 |irst Nam|e:......|
|00005f00| 00 07 0f 01 15 02 04 00 | 00 1e 00 00 00 00 00 00 |........|........|
|00005f10| 08 03 01 0a 01 00 00 0b | 26 4c 61 73 74 20 4e 61 |........|&Last Na|
|00005f20| 6d 65 3a 00 00 00 00 00 | 00 00 08 0e 01 1e 02 04 |me:.....|........|
|00005f30| 00 00 1d 00 00 00 00 00 | 00 09 03 01 18 01 00 00 |........|........|
|00005f40| 19 26 53 74 72 65 65 74 | 20 4e 61 6d 65 20 61 6e |.&Street| Name an|
|00005f50| 64 20 48 6f 75 73 65 20 | 23 3a 00 00 00 00 00 00 |d House |#:......|
|00005f60| 00 0a 03 01 1e 02 04 00 | 00 1f 00 00 00 00 00 00 |........|........|
|00005f70| 0b 03 01 09 01 00 00 0a | 26 50 6f 73 74 43 6f 64 |........|&PostCod|
|00005f80| 65 3a 00 00 00 00 00 00 | 00 0b 0d 01 0b 02 04 00 |e:......|........|
|00005f90| 00 22 00 00 00 13 49 6e | 76 61 6c 69 64 20 50 6f |."....In|valid Po|
|00005fa0| 73 74 61 6c 20 43 6f 64 | 65 00 00 0c 03 01 0a 01 |stal Cod|e.......|
|00005fb0| 00 00 0b 26 54 6f 77 6e | 2f 43 69 74 79 3a 00 00 |...&Town|/City:..|
|00005fc0| 00 00 00 00 00 0c 0e 01 | 1e 02 04 00 00 20 00 00 |........|..... ..|
|00005fd0| 00 00 00 00 07 2e 01 12 | 01 00 00 13 2a 26 50 75 |........|....*&Pu|
|00005fe0| 72 63 68 61 73 65 20 4f | 72 64 65 72 20 23 3a 00 |rchase O|rder #:.|
|00005ff0| 00 00 00 00 00 00 07 41 | 01 0f 02 00 00 00 25 00 |.......A|......%.|
|00006000| 00 00 00 00 00 08 2f 01 | 15 01 00 00 16 26 43 6f |....../.|.....&Co|
|00006010| 6d 70 61 6e 79 20 52 65 | 67 2e 20 23 20 28 48 52 |mpany Re|g. # (HR|
|00006020| 42 29 3a 00 00 00 00 00 | 00 00 08 45 01 08 02 04 |B):.....|...E....|
|00006030| 00 00 80 00 00 00 00 00 | 00 09 2f 01 09 01 00 00 |........|../.....|
|00006040| 0a 26 50 68 6f 6e 65 20 | 4e 72 3a 00 00 00 00 00 |.&Phone |Nr:.....|
|00006050| 00 00 09 39 01 0d 02 04 | 00 00 23 00 00 00 00 00 |...9....|..#.....|
|00006060| 00 0e 08 05 17 06 00 00 | 12 20 46 6f 72 6d 20 6f |........|. Form o|
|00006070| 66 20 42 75 73 69 6e 65 | 73 73 20 00 00 00 00 00 |f Busine|ss .....|
|00006080| 00 00 0f 09 01 13 04 02 | 00 0f 53 6f 6c 65 20 50 |........|..Sole P|
|00006090| 72 6f 70 72 69 65 74 6f | 72 26 01 00 00 00 00 00 |roprieto|r&......|
|000060a0| 00 10 09 01 0f 04 00 00 | 0b 43 6f 72 70 6f 72 61 |........|.Corpora|
|000060b0| 74 69 6f 6e 26 02 00 00 | 00 00 00 00 11 09 01 0f |tion&...|........|
|000060c0| 04 80 00 0b 50 61 72 74 | 6e 65 72 73 68 69 70 26 |....Part|nership&|
|000060d0| 03 00 00 00 00 00 00 0d | 2e 01 11 01 00 00 12 26 |........|.......&|
|000060e0| 4b 69 6e 64 20 6f 66 20 | 42 75 73 69 6e 65 73 73 |Kind of |Business|
|000060f0| 3a 00 00 00 00 00 00 00 | 0e 2e 01 1e 02 04 00 00 |:.......|........|
|00006100| 28 00 00 00 00 00 00 0f | 2e 01 14 01 00 00 15 26 |(.......|.......&|
|00006110| 4e 75 6d 62 65 72 20 6f | 66 20 45 6d 70 6c 6f 79 |Number o|f Employ|
|00006120| 65 65 73 3a 00 00 00 00 | 00 00 00 0f 43 01 05 02 |ees:....|....C...|
|00006130| 04 00 00 29 00 01 00 00 | 00 00 10 2e 01 0d 01 00 |...)....|........|
|00006140| 00 0e 26 44 61 74 65 20 | 53 74 61 72 74 65 64 3a |..&Date |Started:|
|00006150| 00 00 00 00 00 00 00 10 | 3c 01 08 02 04 00 00 27 |........|<......'|
|00006160| 00 00 00 00 00 00 12 31 | 03 0b 05 10 00 0a 20 50 |.......1|...... P|
|00006170| 26 72 6f 63 65 65 64 20 | 00 00 00 00 00 00 00 12 |&roceed |........|
|00006180| 3f 03 0a 05 20 00 07 26 | 43 61 6e 63 65 6c 00 00 |?... ..&|Cancel..|
|00006190| 00 00 00 00 00 14 03 01 | 0c 01 00 00 0c 2a 20 3d |........|.....* =|
|000061a0| 20 4f 70 74 69 6f 6e 61 | 6c 00 00 00 00 00 00 00 | Optiona|l.......|
|000061b0| 43 42 41 32 00 52 00 44 | 00 64 01 ff 00 09 01 03 |CBA2.R.D|.d......|
|000061c0| 08 12 3c 00 00 00 00 00 | 00 00 00 00 00 00 05 19 |..<.....|........|
|000061d0| 01 17 03 00 00 13 43 6f | 6d 70 75 53 65 72 76 65 |......Co|mpuServe|
|000061e0| 20 4d 61 67 61 7a 69 6e | 65 00 01 00 00 00 00 00 | Magazin|e.......|
|000061f0| 00 07 17 01 1e 01 00 00 | 1e 52 65 63 65 69 76 65 |........|.Receive|
|00006200| 20 61 20 66 72 65 65 20 | 73 75 62 73 63 72 69 70 | a free |subscrip|
|00006210| 74 69 6f 6e 20 74 6f 00 | 00 00 00 00 00 00 08 17 |tion to.|........|
|00006220| 01 20 01 00 00 20 74 68 | 65 20 6d 6f 6e 74 68 6c |. ... th|e monthl|
|00006230| 79 20 43 6f 6d 70 75 53 | 65 72 76 65 20 4d 61 67 |y CompuS|erve Mag|
|00006240| 61 7a 69 6e 65 2e 00 00 | 00 00 00 00 00 0b 16 05 |azine...|........|
|00006250| 21 06 00 00 14 4f 74 68 | 65 72 20 4d 65 6d 62 65 |!....Oth|er Membe|
|00006260| 72 20 4f 70 74 69 6f 6e | 73 00 00 00 00 00 00 00 |r Option|s.......|
|00006270| 0c 18 01 1c 03 00 00 18 | 4c 69 73 74 20 69 6e 20 |........|List in |
|00006280| 4d 65 6d 62 65 72 20 44 | 69 72 65 63 74 6f 72 79 |Member D|irectory|
|00006290| 00 08 00 00 00 00 00 00 | 0d 18 01 1c 03 00 00 18 |........|........|
|000062a0| 52 65 63 65 69 76 65 20 | 50 72 6f 6d 6f 74 69 6f |Receive |Promotio|
|000062b0| 6e 61 6c 20 4d 61 69 6c | 00 04 00 00 00 00 00 00 |nal Mail|........|
|000062c0| 0e 18 01 1d 03 00 00 19 | 52 65 63 65 69 76 65 20 |........|Receive |
|000062d0| 45 78 74 65 72 6e 61 6c | 20 4d 61 69 6c 69 6e 67 |External| Mailing|
|000062e0| 73 00 10 00 00 00 00 00 | 00 11 16 03 0b 05 10 00 |s.......|........|
|000062f0| 08 26 50 72 6f 63 65 65 | 64 00 00 00 00 00 00 00 |.&Procee|d.......|
|00006300| 11 2c 03 0b 05 20 00 07 | 26 43 61 6e 63 65 6c 00 |.,... ..|&Cancel.|
|00006310| 00 00 00 00 00 00 4d 45 | 4d 42 45 52 00 44 00 7c |......ME|MBER.D.||
|00006320| 02 ff 00 18 01 04 01 10 | 50 00 00 00 00 00 00 00 |........|P.......|
|00006330| 00 00 00 00 06 03 01 0b | 01 00 00 0c 26 46 69 72 |........|....&Fir|
|00006340| 73 74 20 4e 61 6d 65 3a | 00 00 00 00 00 00 00 06 |st Name:|........|
|00006350| 0f 01 15 02 04 00 00 05 | 00 00 00 00 00 00 07 03 |........|........|
|00006360| 01 0a 01 00 00 0b 26 4c | 61 73 74 20 4e 61 6d 65 |......&L|ast Name|
|00006370| 3a 00 00 00 00 00 00 00 | 07 0f 01 1e 02 04 00 00 |:.......|........|
|00006380| 04 00 00 00 00 00 00 08 | 03 01 18 01 00 00 19 26 |........|.......&|
|00006390| 53 74 72 65 65 74 20 4e | 61 6d 65 20 61 6e 64 20 |Street N|ame and |
|000063a0| 48 6f 75 73 65 20 23 3a | 00 00 00 00 00 00 00 09 |House #:|........|
|000063b0| 03 01 1e 02 04 00 00 07 | 00 00 00 00 00 00 0a 03 |........|........|
|000063c0| 01 05 01 00 00 06 26 43 | 69 74 79 3a 00 00 00 00 |......&C|ity:....|
|000063d0| 00 00 00 0a 09 01 1e 02 | 04 00 00 09 00 00 00 00 |........|........|
|000063e0| 00 00 0b 03 01 09 01 00 | 00 0a 26 50 6f 73 74 43 |........|..&PostC|
|000063f0| 6f 64 65 3a 00 00 00 00 | 00 00 00 0b 0d 01 0b 02 |ode:....|........|
+--------+-------------------------+-------------------------+--------+--------+