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Text File  |  1993-04-05  |  964 b   |  46 lines
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  2.          ─────────────────────────────────────────────────────────────
  3.           PACKER REGISTRATION FORM
  4.          ─────────────────────────────────────────────────────────────
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  7.          Full name: __________________________________________________
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  9.          Street Address: _____________________________________________
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  11.          City: _______________________________________________________
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  13.          State/Prov: _______________________  Postal Code: ___________
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  15.          Country: ____________________________________________________
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  17.          Network Address(es): ________________________________________
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  19.          Data Phone: _________________________________________________
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  21.          Voice Phone: ________________________________________________
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  23.          Number of copies of IMAIL: __________________________________
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  25.          Ammount sent: _______________________________________________
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