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Portable Network Graphic  |  1995-07-17  |  53KB  |  816x1056  |  8-bit (256 colors)
OCR: Symbionts TM Registration Form Version Name: Mailing Address: e-mail Addr esses: Order Information : Description Amount Ouantity Total First Machin License $20 .00 $20 00 Additional licen ses 15.00 Total Due: Method ofPayment: Check/ Money Order pay able to Nivek Research Comments: Mail to: Nivek Research 810 Oakl ey Court Cary North Carolina 27511 USA Descr ption Quantity Machine Prder Iethod