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  1.                   O R D E R   F O R M / DOORSTOP v1.1
  2.  
  3.  
  4.  
  5.  
  6.      To register this product please print out this order form and send
  7.      it with your check or money order (U.S. dollars, please) to:
  8.  
  9.                        Jibben Software
  10.                12133 Norway Street NW
  11.                        Coon Rapids MN  55448  U.S.A.
  12.  
  13.      FROM:
  14.  
  15.          BBS Name: _________________________________________
  16.  
  17.  BBS Phone Number: _________________________________________
  18.  
  19.              Name: _________________________________________
  20.  
  21.           Address: _________________________________________
  22.  
  23.              City: _________________________________________
  24.  
  25.        State/Prov: __________   Postal Code: _______________
  26.  
  27.           Country: _________________________________________
  28.  
  29.      Phone Number: _________________________________________
  30.  
  31.  
  32.      I would like to register:
  33.  
  34.      ______ copies of DOORSTOP @ $15 a copy            = ___________
  35.  
  36.             Shipping and Handling add $5               = _____5.00__
  37.  
  38.             If non-U.S. address please add $2          = ___________
  39.  
  40.  
  41.                                                Total: ______________
  42.  
  43.  
  44.      Disk Size:     5.25"[   ]  or  3.5"HD[   ]
  45.      (IF NO DISK SIZE IS SPECIFIED YOU WILL RECEIVE 3.5"HD!)
  46.  
  47.      Your CompuServe ID: _________________
  48.      Where did you get DOORSTOP? _____________________________________
  49.  
  50.      Comments:
  51.      _________________________________________________________________
  52.      _________________________________________________________________
  53.      _________________________________________________________________
  54.      _________________________________________________________________
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