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  1.                          ORDER FORM FOR PHONICS 123                     V 1.1sw
  2.                          ~~~~~~~~~~~~~~~~~~~~~~~~~~
  3.                        Fax your order to 410-426-5002
  4.                        ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  5.        CALL  1-800-327-3929 or 410-426-0649  for CREDIT CARD ORDERS.
  6.        ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  7.   For all registrations, we'll send you the latest version of PHONICS 123
  8.   with all of the advanced features in PHONICS 2 and 3, plus MUCH MORE.
  9.   Fill in the blanks below and send this page with your check or money order:
  10.  
  11.  Name: _____________________________________ Phone: ________________________
  12.  
  13.  Child's Name: _____________________________________________________________
  14.  
  15.  Address: __________________________________________________________________
  16.  
  17.  ___________________________________________________________________________
  18.  
  19.  Computer Brand and Sound Board: ___________________________________________
  20.  
  21.  Where did you learn about PHONICS 1: ______________________________________
  22.  
  23.  Comments: _________________________________________________________________
  24.  
  25. ------------------------------------------------------------------------------
  26.  Quantity    Item                                      Cost Each     Total
  27. ------------------------------------------------------------------------------
  28.  
  29.   ______     PHONICS 1, 2 and 3 for DOS                 $ 39.00   __________
  30.  
  31.   ______     PHONICS 1, 2 and 3 for WINDOWS             $ 59.00   __________
  32.  
  33.   ______     The PHONICS CD (With VIDEO phonics)        $ 99.00   __________
  34.  
  35.   ______     ______________________________________    ________   __________
  36.              Refer to MANUAL.EXE for other products.
  37.                       ~~~~~~~~~~                         Subtotal __________
  38.  
  39.     Site Licenses                      MD residents add sales tax __________
  40.     Available
  41.                                      Shipping and handling charge   $ 4.00
  42.                                                                   __________
  43.   P.O number: ____________________
  44.                                                             TOTAL __________
  45.                                                                   **********
  46.  [ ] Check enclosed.  Make payable to DareWare Inc.
  47.  or: Charge my  [ ]Visa  [ ]MasterCard 
  48.  
  49.  Card No.: ______________________________________________ Exp.: ____________
  50.  
  51.  Your signature: ________________________________________
  52.  
  53.  Please MAIL to:        DareWare Inc.
  54.  ~~~~~~~~~~~~~~         3005 Glenmore Ave.
  55.                         Balto., MD 21214   USA
  56.