Product:  Escape! 2.1 
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Name:
[1]
[2]
[3]
Phone/FAX:   [4]       [5]

Email:   [6]

Comments:   [7]  

Payment Method:
[8]
[9]
[10]
[11]

Price per copy..........:   $10.00
Number of copies........:   [12]
Quantity Discount.......:   [13]
Send Latest?...(adds $5):   [14]
Disk Size (800k or HD)..:   [15]
Sales Tax (CA Only).....:   [16]
Note: Sales Tax is only
collected if you've requested
a disk and you live in
California

Total Due...............:   [17]

[18]
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Email this registration form to:

John V. Holder                   Email addresses (AOL is preferred):
1734 "S" Street                  America Online:  JohnHolder
Eureka, CA  95501                Internet......:  JohnHolder@aol.com
                                 CompuServe....:  75040,1126

Home Page:   http://www.northcoast.com/~jvholder
(check for the latest new releases and updates!)

FAX:  (707) 443-3813