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Text File  |  1993-01-20  |  2KB  |  59 lines

  1.  
  2.                  ZipNews Door for Waffle Software Order Form
  3.  
  4.                                       Order Date:  _____________________
  5.  
  6.         Name:     ______________________________________________________
  7.  
  8.         Company:  ______________________________________________________
  9.  
  10.         Address:  ______________________________________________________
  11.  
  12.                   ______________________________________________________
  13.  
  14.         City:     ______________________________________________________
  15.  
  16.         State:    ________________________  ZIP Code:  _________________
  17.  
  18.         Phone:    ______________________________________________________
  19.  
  20.         Where did you obtain ZipNews? __________________________________
  21.  
  22.         If different from above, specify registrant's name to appear in
  23.         your registered copy of ZipNews.
  24.  
  25.         ________________________________________________________________
  26.  
  27.  
  28.         Registration Fees:
  29.  
  30.         Number of copies      Cost per Copy              Remittance
  31.  
  32.            _________      x      $19.95        =         $__________
  33.  
  34.  
  35.         Diskette, Postage, Handling:
  36.          One diskette                   $5.00            $__________
  37.          (Not applicable if registering copy
  38.                   already in your possession.)
  39.  
  40.  
  41.        Payments must be in US dollars.          TOTAL:   $__________
  42.  
  43.  
  44.         Remit to:         J. C. Kilday Associates
  45.                           P.O. Box 1961
  46.                           Portland, ME 04104
  47.  
  48.  
  49.  
  50.         Comment:  __________________________________________________
  51.  
  52.         A registration number for converting your copy of ZipNews to
  53.         a registered version will be mailed to you.  If you wish to
  54.         obtain this number directly from our BBS or via Internet
  55.         e-mail, allowing time for us to receive your payment, please
  56.         so indicate on the comment line above.   You may call the BBS
  57.         as indicated at the end of ZIPNEWS.DOC.  Our Internet address is
  58.         jkilday@nlbbs.
  59.