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  1.                         ERROR95 ORDER FORM 
  2.            -------------------------------------------
  3.  
  4. I would like to purchase the latest full version of Error95 ($5.00)
  5.  
  6. Please send it to me via:   
  7.  
  8.            (check one)                         S & H cost
  9.                -----------                        ------------
  10.                   
  11.           ____   E-mail Attachment ->         FREE
  12.                  
  13.               ____   Postal Mail (US & Canada)->  $2.00
  14.  
  15.               ____   Postal Mail (Overseas)  ->   $4.00
  16.                 
  17.                   
  18.                                      TOTAL = $5.00 + ______
  19.  
  20.  
  21. Email Address:________________________________
  22.  
  23.  
  24. Shipping Address:________________________________
  25.  
  26.                  ________________________________
  27.  
  28.                  ________________________________
  29.    
  30.  
  31.  
  32. Special Requests or Comments?
  33.  
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  41. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
  42.  
  43.  
  44. Please send this form with check, cash, or money order to:
  45.  
  46.     James Rubio
  47.     PO Box 306
  48.     Papaikou HI 96781
  49.  
  50. Please make checks payable to me, James Rubio.
  51.  
  52. I will send you the program as soon as I receive your order. Thanks.