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Text File  |  1988-01-13  |  467b  |  26 lines
  1.  
  2. Membership form for Dvorak International
  3. (Electric Dvorak)
  4.  
  5. Name _____________________________________
  6.  
  7. Title ______________________________________
  8.  
  9. Company ___________________________________
  10.  
  11. Address ___________________________________
  12.  
  13. City ___________________ State ____ Zip _______
  14.  
  15. Telephone (____)_____________________________
  16.  
  17. Membership is $30.00 per year.
  18.  
  19. Mail this form to:
  20.  
  21. Dvorak International
  22. 11 Pearl Street
  23. Box 128
  24. Brandon, VT 05733
  25.  
  26. (802) 247-6020