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Text File  |  1990-01-22  |  650b  |  25 lines
  1.  
  2.                PicView Registration Form
  3.  
  4.  
  5.     PicView Registration(s)          ____ @ $15.00  subtotal  ______
  6.  
  7.     Commercial PicView Registration(s)      ____ @ $50.00  subtotal  ______
  8.  
  9.  
  10.              Total # of Copies      ____          Total Price  ______
  11.  
  12.  
  13.  
  14. Name     ___________________________________________________________________
  15.  
  16. Address  ___________________________________________________________________
  17.  
  18.          ___________________________________________________________________
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  20.          ___________________________________________________________________
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  22.          ___________________________________________________________________
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