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  1.                                V E R I F I X
  2.                                 ORDER  FORM
  3.  
  4.    *First Name: __________________________________________________
  5.  
  6.    *Last Name: ___________________________________________________
  7.  
  8.    *BBS Name: ____________________________________________________
  9.  
  10.    FidoNet Node #: _______________________________________________
  11.  
  12.    Voice phone: __________________________________________________
  13.  
  14.    BBS data phone : ______________________________________________
  15.  
  16.    Street: _______________________________________________________
  17.  
  18.    City: ____________________________  State: _____  ZIP: ________
  19.  
  20.  
  21.    * = These entries must be EXACTLY what is typed in the VERIFIX.CFG
  22.        file.  VERIFIX is programmed to complain if these fields aren't
  23.        EXACT !
  24.  
  25.  +----------------------------------------------------------------------+
  26.  | Date: ___/___/___                                                    |
  27.  |                                                                      |
  28.  | Post your registered key on support BBS                              |
  29.  | for YOU to download:                     ____ x $20.00 ea. = _______ |
  30.  |                                                                      |
  31.  |                                                                      |
  32.  | Post your key on support BBS and mail                                |
  33.  | it to you:                               ____ x $25.00 ea. = _______ |
  34.  | Diskette size: 5 1/4:_____   3 1/2:_____                             |
  35.  |                                                                      |
  36.  | Printed bound User Manual                ____ x $10.00 ea. = _______ |
  37.  |                                                                      |
  38.  |                                                                      |
  39.  |                                                      Total   _______ |
  40.  |                                                                      |
  41.  +----------------------------------------------------------------------+
  42.  
  43.    You *MUST* call Sophisticated Software BBS and download your 
  44.    registered key file if you send in $20.00
  45.  
  46.    Sophisticated Software Support BBS - > (215) 968-4998
  47.  
  48.    It usually takes between 10-14 days for processing.
  49.  
  50.    Fees are payable through Money Order or Check made out to:
  51.    Ed Blazejewski NOT Sophisticated Software!!!
  52.  
  53.          Sophisticated Software
  54.          P.O. Box 55
  55.          Newtown, PA 18940-0055
  56.  
  57.  
  58.    Sophisticated Software thanks you for your support of VERIFIX
  59.