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- Please FAX this form to: 1 800 837 4294 (Do not send a cover page)
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- Or, send by mail to: PictureWorks Technology, Inc
- c/o Pipeline Communications
- PO Box 671449
- Marietta, GA 30067-0025 USA.
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- XXX:ALSXXXSAAAAL:
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- First Name: $(REGISTER.201) Middle Initial: $(REGISTER.202)
- Last Name: $(REGISTER.203)
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- Company: $(REGISTER.204)
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- Address 1: $(REGISTER.213)
- Address 2: $(REGISTER.214)
- City: $(REGISTER.215)
- State: $(REGISTER.216)
- Zip Code: $(REGISTER.217)
- Country: $(REGISTER.218)
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- Home Area Code: $(REGISTER.219) Home Phone: $(REGISTER.220) $(REGISTER.220)
- Work Area Code: $(REGISTER.206) Work Phone: $(REGISTER.207) $(REGISTER.207)
- Extension: $(REGISTER.208)
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- E-mail: $(REGISTER.223)
- Comments 1: $(REGISTER.3002)
- Comments 2: $(REGISTER.3002)
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- Date: $(REGISTER.3001)
- System: $(REGISTER.3000)
- Product: $(REGISTER.251) $(REGISTER.252)
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- Thanks for registering. We hope you enjoy your PictureWorks product.
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- XXX:ALSXXXSAAAAL:
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