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  1.                           Golden CommPass Order Form                                                                    Golden CommPass
  2.                                                                                                                   Order Form
  3.    Please complete order information below, and send to the one of the
  4.    addresses below:
  5.  
  6.       - CompuServe mail: 71511,151
  7.       - Internet: 71511.151@CompuServe.com
  8.       - Fax: (609) 234-1920
  9.       - Telephone: (609) 234-1500
  10.       - Mail: Creative Systems Programming Corp.
  11.               Post Office Box 961
  12.               Mount Laurel, NJ  08054-0961  USA
  13.  
  14.    Please use a separate order form for each licensee.
  15.  
  16.  
  17.          Name:  __________________________________________________________
  18.  
  19.       Company:  __________________________________________________________
  20.  
  21.       Address:  __________________________________________________________
  22.  
  23.                 __________________________________________________________
  24.  
  25.                 __________________________________________________________
  26.  
  27.         Phone:  ________________________    Fax:  ________________________
  28.  
  29.       User ID:  ________________________
  30.  
  31.             ___ 32-bit Golden CommPass Version 2.22b      ($99)    _______
  32.                 (S/H - $4.95 North America, $15 Overseas)
  33.  
  34.             ___ Golden CommPass Spell Checker Version 1   ($29)    _______
  35.                 (S/H - $1.95 North America, $3.95 Overseas)
  36.  
  37.             ___ Golden CommPass Gold T-Shirt (XL only)    ($18)    _______
  38.  
  39.             ___ Golden CommPass Lapel Pin                  ($5)    _______
  40.  
  41.                                             Shipping & handling    _______
  42.  
  43.                      Sales tax (New Jersey residents only) (6%)    _______
  44.  
  45.                                                           Total $  _______
  46.  
  47.    Enclose check for total in U.S. dollars or complete credit card details:
  48.  
  49.          Credit card:  ___  American Express   ___  Mastercard  ___  Visa
  50.  
  51.          Card number:  _______________________________  Expire:  ___ / ___
  52.  
  53.    Cardholder's name:  ___________________________________________________
  54.  
  55.            Signature:  ___________________________________________________
  56.  
  57. GCP 2.22b
  58. 2/1/96
  59.