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ORDERFRM.TXT
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1992-05-24
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2KB
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46 lines
QwkMan Order Form
=================
Name:________________________________________________
First Last
Address:_____________________________________________
Number Street Apt.
City:________________________ State:____ Zip:_______
Phone:____________________ _____________________
Voice Data
Where did you obtain QwkMan?_________________________
_____________________________________________________
Comments:____________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
Cost
------
( ) Yes, I'd like to register QwkMan. $15.00
( ) Please send me the latest version of QwkMan. $5.00
Total enclosed: _________
Mail to:
--------
Keith Brown
19431 Rue De Valore #54B
Foothill Ranch, CA 92610