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Text File  |  1991-02-24  |  2KB  |  67 lines
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  8.                              DLS v2.00 REGISTRATION FORM
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  11.                          Quantity                            Amount
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  13.                          ________    DLS Registration @  $____________ each
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  15.                                                   Total: $____________
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  17.                 NOTE: Please  make check  or money  order, made out in U.S.
  18.                       Funds, payable to James A. Clark
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  21.           Company: ________________________________________________________
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  23.           Name:    ________________________________________________________
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  25.           Address: ________________________________________________________
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  27.                    ________________________________________________________
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  29.                    ________________________________________________________
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  31.           Phone:   _______________________
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  34.           Comments and Suggestions: _______________________________________
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  36.           _________________________________________________________________
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  40.           _________________________________________________________________
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  52.           _________________________________________________________________
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  54.           Please send completed form, and check or money order to:
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  56.                                    James A. Clark
  57.                   822 Nancy Road                2130 Knollshire Road
  58.                   Waterloo, Iowa  50701         Cedar Rapids, Iowa  52402
  59.                   >> Before March 15th <<       >> After March 15th <<
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