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  1.  
  2.                         Black Book Plus v3.0 Order Form
  3.  
  4.      You can use this form to register your copy of Black Book Plus
  5.  
  6.                          Registration is only $20.
  7.  
  8.  
  9. Shipping Address:         Name:_______________________________________
  10.  
  11.                      Address 1:_______________________________________
  12.  
  13.                      Address 2:_______________________________________
  14.  
  15.                           City:_______________________________________
  16.  
  17.                          State:________________Zip____________________
  18.  
  19.                          Phone:_______________________________________
  20.  
  21.  
  22. Disk Type:                5 1/4"         3 1/2"
  23. (circle one)
  24.  
  25. Below are some questions and a comment area.  Giving your comments
  26. about Black Book Plus will help with future versions of the program.
  27. It is not necessary to answer the questions but this is a good opportunity
  28. for you to tell me how you feel.
  29.  
  30. Where did you obtain this copy of Black Book Plus? ___________________
  31.  
  32. ______________________________________________________________________
  33.  
  34. What do you like about the program? __________________________________
  35.  
  36. ______________________________________________________________________
  37.  
  38. Dislike? _____________________________________________________________
  39.  
  40. ______________________________________________________________________
  41.  
  42. What can be changed or added to make it better? ______________________
  43.  
  44. ______________________________________________________________________
  45.  
  46. Comments: ____________________________________________________________
  47.  
  48.           ____________________________________________________________
  49.  
  50.           ____________________________________________________________
  51.  
  52.           ____________________________________________________________
  53.  
  54.  
  55. Make checks payable to RanKel Software.
  56.  
  57. Mail to:              Rankel Software
  58.                       P.O. Box 111
  59.                       Silver Lake, Ks  66539
  60.  
  61. Thank you for your support!
  62. 
  63.