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Text File  |  1993-09-16  |  1KB  |  37 lines
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  3.  
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  5.         Please enclose an addressed, stamped envelope with your order.
  6.  
  7.                               REGISTRATION FORM                VIP-64e
  8.                         Send $10.  (U.S. exchange rate)
  9.  
  10.  
  11.  
  12.        Your name _______________________________________________________
  13.  
  14.        Address   _______________________________________________________
  15.  
  16.        City, State, Zip   ______________________________________________
  17.  
  18.        Company name  ___________________________________________________
  19.  
  20.        Phone number  (____) _____________________
  21.  
  22.        Where did you obtain VIP ? ______________________________________
  23.  
  24.        Enter the name below EXACTLY as you want it registered
  25.  
  26.        Name >    _______________________________________________________
  27.                     (case sensitive)    (24 character limit)
  28.  
  29.  
  30.           Mail to:
  31.                     AL RICHARDS
  32.                     5201 ASH
  33.                     SHAWNEE MISSION, KANSAS  USA.
  34.                     66205-2114
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  36.  
  37.               Please add any comments below  ( good or bad ) . ....