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Text File  |  1992-12-02  |  854 b   |  26 lines
  1.                              
  2.                               "AWAY" MESSAGE CENTER
  3.                     REGISTRATION FORM
  4.                           =============================
  5.                  Registration Fee: $14.95
  6.  
  7. Name:___________________________________________________________________
  8.  
  9.  
  10. Street:_________________________________________________________________
  11.  
  12.  
  13. City:_______________________________ State:______ Zip:__________________
  14.  
  15.  
  16. Type of Computer being used on:_________________________________________
  17.  
  18.  
  19. Payment should be in U.S. Dollars by check or money order/travelers check and
  20. included with this order form.  Please do not send cash.  Please make checks 
  21. payable to :
  22.  
  23.                                 Tom L. Nasworthy
  24.                                4317 4th Street West
  25.                             Lehigh Acres, Florida 33971
  26.