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  1.                 O R D E R   F O R M / LHA Chunker 2.01
  2.                        PsL Order Number: #10604
  3.  
  4.  
  5.      To register this product with your credit card please see the file
  6.      CC-ORDER.DOC.
  7.  
  8.      To register this product please print out this order form and send
  9.      it with your check or money order (U.S. dollars, please) to:
  10.  
  11.                        Jibben Software
  12.                        7814 Yates Avenue North
  13.                        Brooklyn Park MN  55443  U.S.A.
  14.  
  15.      FROM:
  16.              Name: _________________________________________
  17.  
  18.         (Company): _________________________________________
  19.  
  20.           (Title): _________________________________________
  21.  
  22.           Address: _________________________________________
  23.  
  24.              City: _________________________________________
  25.  
  26.        State/Prov: __________   Postal Code: _______________
  27.  
  28.           Country: _________________________________________
  29.  
  30.      Phone Number: _________________________________________
  31.  
  32.  
  33.      I would like to register:
  34.  
  35.      ______ copies of LHA Chunker @ $10 a copy     = ___________
  36.  
  37.      ______ upgrade to latest LHA Chunker @ $5     = ___________
  38.             (must be registered LHA Chunker owner!)
  39.  
  40.             upgrade from LHA Chunker
  41.      ______ to latest Archive Sizer @ $8           = ___________
  42.             (must be registered LHA Chunker owner!)
  43.  
  44.             Shipping and Handling add $5           = _____5.00__
  45.  
  46.             If non-U.S. address please add $2      = ___________
  47.  
  48.  
  49.                                            Total: ______________
  50.  
  51.      Disk Size:     5.25"[   ]  or  3.5"[   ]
  52.      (IF NO DISK SIZE IS SPECIFIED YOU WILL RECEIVE 5.25"!)
  53.  
  54.      Your CompuServe ID: _________________
  55.      Where did you get LHA Chunker? ________________________________
  56.  
  57.      Comments:
  58.      _______________________________________________________________
  59.      _______________________________________________________________
  60.      _______________________________________________________________
  61.  
  62.