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Text File  |  1992-11-06  |  843b  |  34 lines
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  2.                             QWK'N'DIRTY ORDER FORM
  3.  
  4. Distribution code: 0004
  5.  
  6. Send completed form to:
  7.  
  8. Anthony W. Hursh
  9. P.O. Box 141293
  10. Anchorage, AK 99514
  11.  
  12.  
  13.       Item                              Price      Quantity
  14. -----------------------------------------------------------
  15. Registration for QWK'n'Dirty            25.00
  16. -----------------------------------------------------------
  17.                                        Total:
  18.  
  19.  
  20. Your name:    ___________________________
  21.  
  22. Organization: ___________________________
  23.  
  24. Street:       ___________________________
  25.  
  26. City:         ___________________________
  27.  
  28. State:        ___________________________
  29.  
  30. Zip:          ___________________________
  31.  
  32. Telephone:    ___________________________
  33.  
  34.