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We solicit your comments and interest in the use of a more secure on-line identification technology. Please fill in the information below and submit to AMSvaricode@msn.com.
Company Name: 
Name: 
Position: 
Street address: 
City: 
State: 
Zip Code: 
Phone Number: 
E-mail Address: 
I am interested in learning more about the capabilities of AMS Varicode technology and applications.
Comment: 
We would be interested in a trial/test of AMS Varicode on-line security coding technology.
Comment: 
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P.O. Box 13181 • Scottsdale, AZ 85267-3181 • Phone 623-544-2221 • Fax 623-546-8329
E-mail: AMSvaricode@msn.comWebsite: www.AMSvaricode.com