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ORDER.FRM
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1991-09-05
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REGISTRATION FORM FOR SW-TALK 1.71
----------------------------------
Fill in the blanks below and send this page with your $20.00
check or money order:
Your Name: ________________________________________________
Company Nane: ________________________________________________
Address: ________________________________________________
City: __________________State:________Zip:____________
Computer Brand: ______________________Model: ___________________
Where did you learn about SW-TALK: _____________________________
Amount to Sent: $ 20.00
~~~~~
Please make your check payable to: C.S.S. Inc.
and mail to: Orlando Dare
3005 Glenmore Ave.
Balti., MD 21214 USA
If you wish to order any additional products by C.S.S. Inc..
Please enter the name of the other products below. Refer to
SW-TALK.DOC for a list of other products.
PRODUCT NAME PRICE
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
TOTAL: _______