Fill-In Questionaire for DTC Inc.

Also note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: gwegst@dtcinc.com.

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Document last updated 06/15/96 by MediaFarm, Inc.