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ORDER.FRM
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Text File
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1995-12-24
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1KB
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53 lines
PGPWave Order Form
~~~~~~~~~~~~~~~~~~
Name: _________________________________________ Alias: _____________
Address: ______________________________________ City: ______________
Provinice/State, country: ___________________________________________
Phone number: (____) ____ - _______
Fidonet node address: __ : _____ / ______ . _____
What do you wish to purchase:
[ ] Specific customizations ($20.00 USD)
[ ] Commercial registration ($30.00 USD)
[ ] Pascal source code to PGPWave ($50.00 USD)
Total enclosed funds in US Dollar: $____ . ___
Additional information: _____________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Sign here:
--- 8< --- 8< --- 8< --- 8< --- 8< --- 8< --- 8< --- 8< --- 8< --- 8< ---
Please print out this form, and fill it in, sign it, then enclose
a money order for the correct amount, and send it to:
John Stephenson
Po Box 1573
Kingston, Ont
Canada, K7L 5C8