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Text File  |  1993-04-09  |  955b  |  49 lines

  1. ___________________ Order Form ___________________________
  2.  
  3.  
  4. Send To:
  5.  
  6. Patrick Breen
  7. 3920 Mystic Valley Parkway #1119
  8. Medford, MA 02155
  9.  
  10. Internet:    pbreen@world.std.com
  11. CompuServe:  70312,743
  12.  
  13. Telephone:   (617) 396-2673
  14.  
  15.  
  16. (  )  I enclose $5 for encouragement of continuing development
  17.  
  18.  
  19.  
  20.           Name: _________________________ Date:_____________
  21.  
  22.  
  23.         Company: ____________________________________________
  24.  
  25.  
  26.         Address: ____________________________________________
  27.  
  28.  
  29. City, State, Zip: ____________________________________________
  30.  
  31.  
  32.         Country: ____________________________________________
  33.  
  34.  
  35.       Day Phone: _________________  Eve:  ___________________
  36.  
  37.  
  38. If you provide an electronic mail address, I will notify
  39. you about major updates as they become available.
  40.  
  41.  
  42. Electronic Mail address: _____________________________________
  43.  
  44.  
  45. How did you hear about BarClock v1.32? ________________________
  46.  
  47.  
  48. Comments:
  49.