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Text File  |  1992-12-12  |  2KB  |  59 lines
  1.  
  2.  
  3.  
  4.                            FCE 1.1 Registration Form
  5.  
  6.  
  7.     Name: ________________________________________________________________
  8.  
  9.    Email: __________________________   Phone: ____________________________
  10.  
  11.  Address: ________________________________________________________________
  12.  
  13.     City: __________________________   State: _______    Zip: ____________
  14.  
  15.   Amount: $____________________________________     Date: ________________
  16.             (staple check to bottom of page)
  17.  
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  19.  
  20.  -------------------------------- fold here -----------------------------------
  21.                                   [ tape ]
  22.  
  23.                                                                  -------
  24.                                                                 | place |
  25.                                                                 | stamp |
  26.                                                                 | here  |
  27.                                                                  -------
  28.  
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  31.  
  32.                          Andy Hakim
  33.                          FCE Development
  34.                          816 Pecore Street
  35.                          Houston, TX 77009-6034
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  42.  -------------------------------- fold here -----------------------------------
  43.  
  44.   Please complete the following information:
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  46.   FCE Version: ______________  Obtained from: ________________________
  47.  
  48.   Comments: _____________________________________________________________
  49.  
  50.   ____________________________________________________________________
  51.  
  52.   _______________________________________________________________________
  53.  
  54.   _______________________________________________________________________
  55.  
  56.   _______________________________________________________________________
  57.   Use back side of this form if you need more space.
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