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  1. Name:    ...
  2. Address: ...
  3.          ...
  4.          ...
  5.  
  6. Phone:   ...
  7. Fax:     ...
  8. Email:   ...
  9.  
  10. Date:    ...
  11.  
  12.                   To: Alessandro Levi Montalcini
  13.                   C.so Re Umberto 10
  14.                   10121 Torino
  15.                   Italy
  16.  
  17.  
  18. CalConvert for Pilot 1.1 registration
  19.  
  20.  
  21. Comments: ...
  22.  
  23. I enclose $10 cash for each registered copy of the program.
  24.  
  25.  
  26. Signature: ...
  27.