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Text File  |  1984-05-12  |  3KB  |  79 lines
  1.                                                                                 
  2.                                   CLIENT FORM                                   
  3.                                                                                 
  4.                                                                                 
  5.    Last Name _______________       First Name ___________     Title _______     
  6.                                    Spouse     ___________                       
  7.                                                                                 
  8.                                                                                 
  9.    Company Name    _____________________________     Company Id # _________     
  10.    Street address  _____________________________                                
  11.    City / State    _____________________________     ZIP _______                
  12.                                                                                 
  13.                                                                                 
  14.    Home phone        (___) ___-____-____          Total purchases _________     
  15.    Work phone        (___) ___-____-____          Credit Terms    _________     
  16.    last contact date  ________                    Credit Rating   _             
  17.                                                                                 
  18.                                                                                 
  19.    Mailing times   weekly __   bi-weekly __   monthly __    bi-monthly __       
  20.                                                                                 
  21.                                                                                 
  22.                                  Comments                                       
  23.      ____________________________________________________________________       
  24.      ____________________________________________________________________       
  25.      ____________________________________________________________________       
  26.                                                                                 
  27.                                Post Script                                      
  28.      ____________________________________________________________________       
  29.  
  30.     
  31.      E//C:C
  32. CC % %*7H              
  33. DDDD    
  34.     
  35. 
  36.  
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  38.  
  47. 
  55.  
  59.  
  68. 
  76. ZIP       W. PHONE4 W. PHONE3 W. PHONE2 W. PHONE1 TOT PURCH.TITLE     STREET AD.
  77. SPOUSE    LAST NAME L CONTACT H. PHONE4 H. PHONE3 H. PHONE2 H PHONE1  FIRST NAME
  78. CR. TERMS CR. RATINGCOMPANY IDCOMPANY   CITY/STATEH. PHONE2 H PHONE1  FIRST NAME