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Text File  |  1990-01-21  |  607b  |  29 lines
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  6.                    SHUTTLE RESCUE ORDER FORM
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  10.        NAME: _____________________________________________
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  13.     ADDRESS: _____________________________________________
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  16.        CITY: ________________________   STATE: ___________
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  19.    ZIP CODE: ________________________ VERSION:         1.2
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  23.    PLEASE ENCLOSE A CHECK OR MONEY ORDER FOR $ 20.00
  24.    MAKE THE CHECK PAYABLE TO:     LEIF MAGDEN
  25.  
  26.    SEND THIS COMPLETED ORDER FORM TO:     LEIF MAGDEN
  27.                                           132 LOMA VISTA #5
  28.                                           EL SEGUNDO, CA   90245
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