.\" @(#)siteinfo	1.2 (CSRG - distribution) 7/9/92
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Choice of medium:
.sp 5p
.ps 11
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\fB 9 track, 6250bpi \(ci     8mm Exabyte \(ci  
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.TE
.sp -20p
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.in 0
.ce 3
.ps 12
.B "4.4BSD-Encumbered"
.B "Site Information Form"
.B "PLEASE TYPE"
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Organization:	\l'4i'
No. of BSD Users:	\l'4i'
Site Type (check one):	Educational___ Governmental___ Commercial___
Site Mailing Address:	\l'4i'
	\l'4i'
	\l'4i'
	\l'4i'
Site Network Address:	(please specify complete path to UUNET if UUCP address)
	\l'4i'
.sp 1
Administrative Contact:	\l'4i'
Mailing Address (no P.O. Boxes):	\l'4i'
	\l'4i'
	\l'4i'
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Telephone:	\l'4i'
Facsimile:	\l'4i'
E-mail Address:	\l'4i'
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Technical Contact:	\l'4i'
Mailing Address (no P.O. Boxes):	\l'4i'
	\l'4i'
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Telephone:	\l'4i'
E-mail Address:	\l'4i'
.sp 1
Current AT&T Agreement:	32V___sysIII___sysV___(Release No.______) 
Title of Signatory:	\l'4i'
.TE