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Text File  |  1992-05-20  |  2KB  |  36 lines

  1.  
  2.  
  3.  
  4.      +---------------------------------------------------------------------+
  5.      |                                                                     |
  6.      |  I wish to license _____ copy/copies of the latest release of the   |
  7.      |  PCXDUMP program. I have enclosed $25.00 for each single-user       |
  8.      |  license, as indicated.  (Prices subject to change.)                |
  9.      |                                                                     |
  10.      |  I have also enclosed extra $4.00 for shipping and handling.        |
  11.      |                                                                     |
  12.      |  Name ___________________________________________________________   |
  13.      |                                                                     |
  14.      |  Company (if applicable) ________________________________________   |
  15.      |                                                                     |
  16.      |  Address ________________________________________________________   |
  17.      |                                                                     |
  18.      |  City _______________________________  State ______  Zip ________   |
  19.      |                                                                     |
  20.      |  Country _____________________                                      |
  21.      |                                                                     |
  22.      |  I prefer:  _____ 3-1/2" disk;  _____ 5-1/4" disk                   |
  23.      |                                                                     |
  24.      +---------------------------------------------------------------------+
  25.  
  26.          TO ORDER BY CHECK:   Complete the order form above and mail it with
  27.          your check or money order for $25.00 U.S. per copy, payable
  28.          to Jesper Frandsen.  Send your order to:
  29.  
  30.  
  31.                               Jesper Frandsen
  32.                               Fredens Torv 7, 2. Sal
  33.                               8000 Aarhus C
  34.                               DENMARK
  35.  
  36.