Floppy Librarian/2 Registration Form.

Registration is $25 per person.   All checks and money orders must be drawn on
a US bank.

Name: ___________________________________

Address 1: ______________________________

Address 2: ______________________________

City: ___________________________________

State/Province: _________________________

Zip/Postal Code: ________________________

Country: ________________________________


Comments:

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______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

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Please mail this form and your payment to:

           Daniel Davis
           P.O. Box 1072
           Middleburg, FL 32050-1072
