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  1.                              THE DIALER  V2.30
  2.                                      
  3.                                 Order Form
  4.  
  5. PLEASE PRINT
  6.  
  7. Name _________________________________________________________________
  8.  
  9. Address ______________________________________________________________
  10.  
  11. City _______________________________ State ________ ZIP ______________
  12.  
  13. Country (if outside USA) _____________________________________________
  14.  
  15.  
  16. Check the type of registration you prefer.
  17.  
  18. [ ] Option #1: $15.00                                                  ______
  19.       Receive the latest version of The Dialer.  Free upgrades for
  20.       one year or the next upgrade - whichever is greater.  Three
  21.       months of support.  Notification of all new releases from
  22.       GRH Software.
  23.       
  24. [ ] Option #2: $25.00                                                  ______
  25.       Includes everything from option #1 and a printed user's manual. 
  26.       
  27. [ ] Option #3: $10.00 each                     _____ copies x $10.00 = ______
  28.       Site registration - multiple copies used at one location.
  29.       Includes everything in option #1.   
  30.                                                             Sub total  ______
  31.  
  32.                                      Michigan residents add sales tax  ______
  33.  
  34.                               Total (All prices are in U.S.currency.)  ______
  35.  
  36.  
  37. Please circle the type of disk that you prefer.   5.25"   3.5"   EITHER
  38.  
  39. Mail this completed form with your check or money order to:
  40.  
  41. GRH SOFTWARE
  42. 6266 SCOTTHILLE DRIVE SE
  43. GRAND RAPIDS  MI  49546-9608
  44.  
  45.                    Thank you for registering The Dialer!
  46.