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  1.  
  2.     ========================================================================
  3.     *** Evaluation Copy ***         ORDER FORM
  4.     ========================================================================
  5.  
  6.     ORDERED BY:
  7.  
  8.         Name:__________________________________________________________
  9.         Company:_______________________________________________________
  10.         Address:_______________________________________________________
  11.         City:__________________________________________________________
  12.         State:___________  Country__________  Postal Code:_____________
  13.         Phone:_________________________  FAX:__________________________
  14.         E-Mail Address: _______________________________________________
  15.  
  16.         Name of Primary User of this Product  (for technical support
  17.           and security purposes):   ___________________________________
  18.  
  19.     PRODUCTS ORDERED:
  20.  
  21.         1) Business Clock Link v2.8 Site License,
  22.            Printed Manager's Guide (manual),
  23.            Technical Support.
  24.            Disk size needed: ___ 3.5"   ___ 5.25"   $149.00  __________
  25.  
  26.         2) Shipping: $4 USA & Canada, $8 International       __________
  27.  
  28.         Total Amount (U.S. Dollars)                          $
  29.                                                              ==========
  30.  
  31.     IF PAYING BY CHECK, OR IF YOU HAVE QUESTIONS, SEND TO:
  32.  
  33.         BizMark Development         Phone: (318) 949-4399
  34.         P.O. Box 182                FAX:   (318) 949-4400
  35.         Princeton, LA 71067-0182    EMail: mhicks@bizmark.com
  36.  
  37.     IF PAYING BY CREDIT CARD, COMPLETE AND CONTACT:
  38.  
  39.         Phone:      800-242-4775    CompuServe: 71355,470
  40.         Phone:      713-524-6394    Internet: 71355.470@compuserve.com
  41.         FAX:        713-524-6398
  42.  
  43.         NOTE! Request Product #11665.
  44.         NOTE! Please include the address of the cardholder.
  45.         NOTE! Orders only at this number. Call BizMark for support.
  46.  
  47.         Card Number: __________________________________________________
  48.                      [ ] VISA   [ ] MC   [ ] Am Express   [ ] Discover
  49.  
  50.         Expiration Date: ________ Signature: __________________________
  51.  
  52.         Name of Cardholder: ___________________________________________
  53.         Address of Cardholder: ________________________________________
  54.                                ________________________________________
  55.