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  1.  /============================================================================\
  2.  |                                                                            |
  3.  |                Tristix Registered Version 1.0 Order Form                   |
  4.  |                                                                            |
  5.  |============================================================================|
  6.  |                                                                            |
  7.  |  Tristix Registered Version 1.0 on 3 1/2" 1.44MB disk . . . . . .  $19.95  |
  8.  |                                                                            |
  9.  |  Shipping outside of US and Canada, add $2.00 . . . . . . . . . .  $__.__  |
  10.  |                                                                            |
  11.  |  Total enclosed . . . . . . . . . . . . . . . . . . . . . . . . .  $__.__  |
  12.  |                                                                            |
  13.  |  ( US dollars only.  Make check or money order payable to Evan Salomon. )  |
  14.  |                                                                            |
  15.  |----------------------------------------------------------------------------|
  16.  |                                                                            |
  17.  |     Name ________________________________________________________________  |
  18.  |                                                                            |
  19.  |  Address ________________________________________________________________  |
  20.  |                                                                            |
  21.  |     City ________________________________  State ____  Zip ______________  |
  22.  |                                                                            |
  23.  |  Country ________________                                                  |
  24.  |                                                                            |
  25.  |----------------------------------------------------------------------------|
  26.  |                                                                            |
  27.  |  Would you like to be informed by internet e-mail about program updates    |
  28.  |  and future releases by the authors?                                       |
  29.  |                                                                            |
  30.  |  [ ] No  [ ] Yes, my e-mail address is __________________________________  |
  31.  |                                                                            |
  32.  |----------------------------------------------------------------------------|
  33.  |                                                                            |
  34.  |  Where did you get this copy of Tristix?                                   |
  35.  |                                                                            |
  36.  |  [ ] BBS ________________________________________________________________  |
  37.  |                                                                            |
  38.  |  [ ] Online service _____________________________________________________  |
  39.  |                                                                            |
  40.  |  [ ] Internet site ______________________________________________________  |
  41.  |                                                                            |
  42.  |  [ ] From a friend  [ ] Other ___________________________________________  |
  43.  |                                                                            |
  44.  |============================================================================|
  45.  |                                                                            |
  46.  |  Send completed order form and payment to:                                 |
  47.  |                                                                            |
  48.  |                           Evan Salomon                                     |
  49.  |                           574 39th Street                                  |
  50.  |                           Richmond, CA 94805-1819                          |
  51.  |                           USA                                              |
  52.  |                                                                            |
  53.  |----------------------------------------------------------------------------|
  54.  |                                                                            |
  55.  |                           Registration code 2052                           |
  56.  |                                                                            |
  57.  \============================================================================/
  58.