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  1.                            Shadowland Software
  2.                            BBS SERVICES
  3.                            ** ORDER FORM **
  4.  
  5. Name:__________________________________________________________
  6.  
  7. Mailing Address:______________________________________________________
  8.  
  9. City:___________________________ State:_______ Zip:___________________
  10.  
  11. Account #(If any):______  Phone #:(     )______________________
  12.  
  13.  
  14. Disk Size:  [   ] 3 1/2"   [   ] 5 1/4"
  15.  
  16.  
  17. Disk Type: [    ] HD   [   ] DS/DD  [    ] Doesn't Matter
  18.  
  19.  
  20. Item #/s Ordered:   (If you need more space, please use the opposite side)
  21.  
  22. ________    ________   ________  ______  _______  _______  _____ _____
  23.  
  24.  
  25. ________    ________   ________  ______  _______  _______  _____ _____
  26.  
  27.  
  28. Grand Total:$____________  Payment Enclosed:  [  ] Check  [  ] Money Order
  29.  
  30.  
  31. Check/M.O. #:________________________
  32.  
  33.  
  34. Signature: X_______________________________________________________
  35.  
  36.  
  37.     Please allow 4-6 weeks for delivery. Send this form, with payment to:
  38.  
  39.  
  40.                         Shadowland Software
  41.                         P.O. Box 205
  42.                         Egg Harbor City, NJ 08215-0205
  43.  
  44.  
  45. Also, if you would, please answer these questions so that we can better
  46. serve our customers.
  47.  
  48. What type of computer do you have?
  49.  
  50. [  ] XT  [  ] 286  [  ] 386  [   ] 486  [  ] 586
  51.  
  52. What do you use it for mainly?
  53.  
  54. [   ] Business  [   ] Games/Leisure  [   ] Both [   ] Other:______________