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Text File  |  1992-03-13  |  702b  |  22 lines
  1. Remit To:           International TeleCommunications
  2.                     555 North Spring, #39
  3.                     Cape Girardeau Mo. 63701
  4.  
  5. Zmax.exe............................................  $ 15.00 [ ]
  6.  
  7. Payment by:
  8.  
  9.            Check (U.S. bank or branch) enclosed [ ]
  10.            Money Order (U.S. bank or branch     [ ]
  11.            Cash                                 [ ]
  12.  
  13. Name     ___________________________________________________________________
  14.  
  15. Address  _________________________________________________________
  16.  
  17.          ___________________________________________________________________
  18.  
  19.          ___________________________________________________________________
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