Automatic Age

T H E
INDUSTRY
o i A U T O M A T IC
A G E
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name
f ir m
____________________________________________________ _________________________ —---------------
name
_______________ ____________________________________________________________________________
STREET A D D R E S S _____________________________________________
CITY ----- -------------------
MANUFACTURER ______________________ JO B B E R _______________ —
OPERATOR ___________________
Years in Coin Machine Ind u stry -------- ------------------------- --------------------------
Types of Machines Featured ------------------------------ --------------------------------
Number of Employees------- ---------------- „---------------------- ---------------------
U Jobber, what manufacturers represented--------------- -------------------------- —-------
If Operator, what kind of machines operated, how many —--------------------------------- ------
Past experience _______________ ________ ________ _____________________ _______ _—-------------- »-- ---
R E M A R K S
Fill in above and return at once to A U T O M A T IC A G E
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