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  1.  
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  6.                  O R D E R   F O R M
  7.                                 IBMNET-7.25
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  10.            TO:  BLACKBEARD                              Date____/____/____
  11.                 1198 East Baseline #113
  12.         San Bernardino, CA 92410
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  17.          From:  Name _______________________________________________________
  18.  
  19.                 Address ____________________________________________________
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  21.         City __________________________ State ________ Zip _________
  22.  
  23.                 Area Code (______)  Phone __________________________________
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  27.              REGISTRATION FEE------   EACH-------   EXTENDED-
  28.  
  29.              "BLACKBEARD"   editor      $   20.00       _______
  30.  
  31.               Update, registered users only  8.00       -------
  32.  
  33.               Foreign delivery               5.00       -------
  34.  
  35.                                    --------
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  37.                                                 Total          $_______
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  41.  
  42.                 --------------------- User comments ----------------------
  43.  
  44.                 I learned about BLACKBEARD from
  45.                    [ ] - Friend                    [ ] - Software product
  46.                    [ ] - Computer Club             [ ] - Computer Store
  47.            [ ] - Data Base Service         [ ] - PC-SIG
  48.            [ ] - Source                    [ ] - IBM/NET
  49.            [ ] - Site license              [ ] - IEEE software
  50.            [ ] - Other
  51.  
  52.                 Comments or suggestions: ___________________________________
  53.                 ____________________________________________________________
  54.                 ____________________________________________________________
  55.                 ____________________________________________________________
  56.  
  57.                 problems:___________________________________________________
  58.                 ____________________________________________________________
  59.                 ____________________________________________________________
  60.                 ____________________________________________________________
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