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  1.  
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  4.                                ORDER FORM
  5.  
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  7.  
  8.  QUAN. │                                                             │ TOTAL
  9. ───────┤                                                             ├───────
  10.        │                                                             │
  11.        │ SHAREWARE REGISTRATION ....................$25.00           │_______
  12.        │                                                             │
  13.        │                                                             │
  14.        │ THDBMS V6.0 Complete Commercial Version;                    │
  15.        │                                                             │
  16. _______│        For THOROUGHBREDS.................. $69.95           │_______
  17.        │                                                             │
  18.        │                                                             │
  19. _______│        Both THOROUGHBREDS & STANDARDBREDS. $99.95           │_______
  20.        └─────────────────────────────────────────────────────────────┘
  21. ┌────────────────────────────────────┬───────────────────────────────────────┐
  22. │                                    │                                       │
  23. │  __ 3 1/2 "  __ 5 1/4" Media       │                 Sub-Total      _______│
  24. │                                    │                                       │
  25. │                                    │                                       │
  26. │                                    │                                       │
  27. │                                    │   Add 4 1/2% VA Sales Tax      _______│
  28. │ System & RAM: ____________________ │                                       │
  29. │                                    │                                       │
  30. │ Hard Drive Capacity _____ MEG      │                  SHIPPING       $3.00 │
  31. │                                    │                                       │
  32. │                                    │                                       │
  33. │                                    │                   TOTAL        _______│
  34. ├────────────────────────────────────┘                                       │
  35. │                                                                            │
  36. │          __ Bill my credit card:    __  VISA     __ MasterCard             │
  37. │                                                                            │
  38. │  Account Number ________________________________________ Exp. Date ______  │
  39. │                                                                            │
  40. │  Name ___________________________________________________________________  │
  41. │                                                                            │
  42. │  Address ________________________________________________________________  │
  43. │                                                                            │
  44. │  City _______________________________________ State _____  Zip __________  │
  45. │                                                                            │
  46. │  Telephone (________)_________________________                             │
  47. │                                                                            │
  48. │  Signature ______________________________________________________________  │
  49. │                                                                            │
  50. └────────────────────────────────────────────────────────────────────────────┘
  51.  
  52. Send check, M.O., or VISA/MasterCard information to B. L. Software, Inc.,
  53. Box 13474, Chesapeake, Va. 23325. Call TOLL FREE 1-800-736-6076. ORDERS
  54. ONLY PLEASE. VISA & MasterCard accepted, no surcharge. Send for FREE SHAREWARE
  55. CATALOG. Call (804)-420-8380 for technical support.
  56.