.ds @w Your Institution
.ds @d Your Division
.ds @t Your Division\'s Title
.ds @l Your Location
.ds @f Your Fax Number
.ds @v Your Voice Number
.ds @e Your Email Address
.LP
\l'6i'\v'12u'\l'-6i'
.sp 1.5
.ps 14
.vs 12
.ft HB
.ce 1
.tl '\*(@w'FAX''
.sp -0.5
.ce 1
\l'6i'
.sp
.tl '\*(@d''\*(@t'
.br
\l'6i'\v'12u'\l'-6i'
.sp 2
.nf
.na
.ta 2i 4.6i
Date/time: ddd		No.Pages: ppp
.sp 3
To: TTT
.sp
Location: 
.sp
Fax: fff
.sp
Voice: 
.sp
Email: 
.sp 3
From: FFF
.sp
Location: \*(@l
.sp
Fax: \*(@f
.sp
Voice: \*(@v
.sp
Email: \*(@e
.sp 2
.br
\l'6i'\v'12u'\l'-6i'
.sp
Comments:
.sp 12
\l'6i'\v'12u'\l'-6i'