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  1.                  O R D E R   F O R M               Ver/2-1.2
  2.  
  3.  
  4.  
  5.  
  6.        TO:  Jim Dodgen                                Date______________
  7.         P.O. Box 900
  8.         Running Springs, California 92382-900
  9.         U.S.A.
  10.  
  11.  
  12.      From:  Name    ____________________________________________________
  13.  
  14.         Address ____________________________________________________
  15.  
  16.         Address ____________________________________________________
  17.  
  18.         Address ____________________________________________________
  19.  
  20.                 Area Code (______)  Phone __________________________________
  21.  
  22.  
  23.      Format:  5 1/4 ____  3 1/2 ____  (Specify only one.)
  24.  
  25.      SUGGESTED DONATIONS
  26.  
  27.         REGISTRATION FEE------               EACH-----  EXTENDED
  28.  
  29.         Blackbeard/2                         $ 25.00    _______
  30.         Registered user upgrade              $  7.00    _______
  31.  
  32.         Foreign Postage                      $  5.00    _______                                          --------
  33.         Site License (Right to copy only per product)
  34.           10-25 Copies        $  12.50 per copy
  35.           25+ Copies          $  10.00 per copy
  36.           Unlimited Copies    $ 900.00
  37.         Total                                           $_______
  38.  
  39.           ALLOW SIX TO EIGHT WEEKS FOR SHIPPING (worst case)
  40.             ALL VALUES ARE IN U.S. DOLLARS
  41.  
  42.       --------------------- User comments ----------------------
  43.  
  44.       I learned about Blackbeard from
  45.          [ ] - Friend                    [ ] - Product Review
  46.          [ ] - Computer Club             [ ] - Mail Order
  47.          [ ] - Work/School Distribution  [ ] - PC-SIG
  48.          [ ] - BBS_____________________  [ ] - Other
  49.          [ ] - IBM /Microsoft OS/2 applications guide
  50.  
  51.      Comments suggestions or problems: __________________________
  52.      ____________________________________________________________
  53.      ____________________________________________________________
  54.      ____________________________________________________________
  55.  
  56.