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  1.  
  2.     +----------------------------------------------------------------------+
  3.     |                                ZipZap                                |
  4.     |                                                                      |
  5.     |                              Version 7.0                             |
  6.     |                                                                      |
  7.     |                    Customer Agreement / Order Form                   |
  8.     +----------------------------------------------------------------------+
  9.  
  10.           Yes!  I believe in the shareware method of software
  11.           distribution and marketing.
  12.  
  13.           I want to become a registered user of ZipZap and receive my
  14.           own personal serial number.  I understand that for every
  15.           registration KeyStrokes Computer Works receives bearing my
  16.           registration number, I will be paid $5.00 (U.S. funds.)
  17.  
  18.           Please send me:
  19.  
  20.           _______ copies of ZipZap @ $15.00 each   Total: $___________
  21.  
  22.           Kansas Residents please add 5.25% sales tax
  23.           (79 cents per copy of ZipZap):                   ___________
  24.  
  25.  
  26.           For 3.5" disk, please add $1.00:                 ___________
  27.  
  28.                                                                       
  29.           Total Payment Enclosed:                          ___________
  30.  
  31.  
  32.                    Name: ______________________________
  33.  
  34.                 Company: ______________________________ (if applicable)
  35.  
  36.                 Address: ______________________________
  37.  
  38.                          ______________________________
  39.  
  40.        City, State, Zip: ______________________________
  41.  
  42.  
  43.           Please pay by check or money order.
  44.  
  45.           Mail this form and remittance to:
  46.  
  47.                             KeyStrokes Computer Works
  48.                                   812 East 15th
  49.                              Winfield, Kansas  67156
  50.  
  51.  
  52.      ZIPZAP SERIAL NUMBER: 0
  53.