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ORDER.FRM
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1993-04-25
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2KB
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46 lines
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ORDER FORM
[ $5 Shareware ]
By registering DIZ/2 you will recieve a personalized registration number
which will enable you to use advanced features avalible only to registered
SysOps and you will be also supporting future development of this software.
When I recieve your order I will call you and supply you with your
registration number. Sorry, no credit card orders at this time.
Thanks for your support.
Registration Name: _______________________________________________
First/Last Name: _______________________________________________
Address: _______________________________________________
City, ST Zip: _______________________________________________
Country: ____________________ Phone: __________________
Payment of $5 by: [ ] Check [ ] Money order
Any comments or suggestions?
╔═════════════════════════════[ SEND TO: ]═════════════════════════════════════╗
║ Shawn Reimerdes ║
║ 162-14 Cryders Lane ║
║ Whitestone, NY 11357 ║
╚══════════════════════════════════════════════════════════════════════════════╝