7,0,15,0,15,0,5,34,46,67,72,59,3
"YOUR COMPANY NAME","YOUR COMPANY ADDRESS","YOUR CITY, STATE ZIP","YOUR PHONE NUMBER"
"Y","S"
"C","","","","","3"
0,0,0,0,0,10
"There are six  lines","available.    Please","type  your own lines","for disclosure.   To","leave lines   blank,","enter only at prompt"
45
