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Text File  |  1992-04-23  |  673 b   |  28 lines
  1. Registration:
  2.  
  3. Please make your payment of $49 in US dollars payable to: 
  4. antern Corporation.  Please do not send cash.
  5.  
  6. Name: ____________________________________ 
  7.     
  8. Company: _________________________________   
  9.  
  10. Address: _____________________________________________________
  11.  
  12. City: _____________________ State: _______ Zip: ______________
  13.  
  14. Phone: ___________________________  FAX: _____________________
  15.  
  16. How did you hear about MOVIE?  
  17.  
  18. ______________________________________________________________
  19.  
  20.  
  21. Signed: ________________________________  Date:  _____________ 
  22.  
  23.  
  24. Send to:    Lantern Corporation, 
  25.         63 Ridgemoor Drive, 
  26.         Clayton, MO 63105.
  27.  
  28.