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Text File  |  1992-01-31  |  1KB  |  30 lines
  1. Mail To:            International TeleCommunications
  2.                     555 North Spring, #39
  3.                     Cape Girardeau Mo. 63701
  4.  
  5.  
  6. Registered Tmodem mailed to you on Disk ...  $25.00 [ ]
  7. Download Registered Tmodem ................  $15.00 [ ]
  8. Customized Copy of Tmodem  ................ + $5.00 [ ]
  9.  
  10. Register To : _______________________________________________________
  11.  
  12. Payment by:  Check (U.S. bank or branch)             [ ]
  13.              Cash                                    [ ]
  14.  
  15. Download Password [        ] (Used for Downloading Registered Tmodem)
  16.  
  17.  
  18. Name     ___________________________________________________________________
  19.  
  20. Mailing Address    _________________________________________________________
  21.  
  22.                    _________________________________________________________
  23.  
  24.                    _________________________________________________________
  25.  
  26.                    _________________________________________________________
  27.  
  28.                    _________________________________________________________
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