home *** CD-ROM | disk | FTP | other *** search
/ Magnum One / Magnum One (Mid-American Digital) (Disc Manufacturing).iso / d17 / dexical.arc / FORM.TXT < prev    next >
Encoding:
Text File  |  1990-06-06  |  1.6 KB  |  34 lines
  1.  
  2.  
  3.  
  4.  
  5.  
  6.  
  7.  
  8.  
  9.  
  10.                                                    date                                                                  ___________
  11.  
  12.                                                                                         ____________________________________________
  13.                                           name
  14.  
  15.                                                                                         ____________________________________________
  16.                                          address
  17.  
  18.                                                                                           _______________________  ___  ____________
  19.                                 city            state     zip
  20.  
  21.                                                                                         _____ ______________   ____  _______________
  22.                       areacode    phone          alternate phone
  23.  
  24.                      type of computer                                                                   ____________________________
  25.                      hard disk y/n?           capacity?                                                 _____             __________
  26.  
  27.                      where did you learn of DEX-i-cal?/comments
  28.                                                                                         ______________________________________________
  29.  
  30.                                                                                         ______________________________________________
  31.  
  32.                                                                                         ______________________________________________
  33.  
  34.