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MAILER
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Please add me as a supporter of LIST, version 9.0h:
Name ______________________________________________________________
Company ______________________________________________________________
Address ______________________________________________________________
______________________________________________________________
City ________________________________State _______ Zip ____________
Amount $____________________Copies _________ Date _______________
( ) Check or money order payable to Vernon D. Buerg in U.S. funds
( ) VISA ( ) MasterCard ( ) 5.25" disk ( ) 3.5" disk
Credit card number __________________________________ Exp date _______
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[tape]
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| place |
| stamp |
| here |
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Vernon D. Buerg
139 White Oak Circle
Petaluma, CA
94952
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