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  1.                O R D E R   F O R M / Zip Chunker 3.01
  2.                        PsL Order Number: #10758
  3.  
  4.      To register this product with your CREDIT CARD please see the file
  5.      CC-ORDER.DOC.  However, it costs less to order by MAIL, see below.
  6.      To register this product please print out this order form and send
  7.      it with your check or money order (U.S. dollars, please) to:
  8.  
  9.                        Jibben Software
  10.                12133 Norway Street NW
  11.                        Coon Rapids MN  55448  U.S.A.
  12.  
  13.      FROM:
  14.              Name: _________________________________________
  15.         (Company): _________________________________________
  16.           (Title): _________________________________________
  17.           Address: _________________________________________
  18.              City: _________________________________________
  19.        State/Prov: __________   Postal Code: _______________
  20.           Country: _________________________________________
  21.      Phone Number: _________________________________________
  22.   Fidonet Address: _________________________________________
  23.     CompuServe ID: _________________________________________
  24.       Internet ID: _________________________________________
  25.  
  26.  
  27.      I would like to register:
  28.  
  29.      ______ copies of Zip Chunker @ $10 a copy     = ___________
  30.  
  31.      ______ upgrade to latest Zip Chunker @ $5     = ___________
  32.             (must be registered Zip Chunker owner!)
  33.  
  34.             upgrade from Zip Chunker
  35.      ______ to latest Zip Chunker Pro @ $8         = ___________
  36.             (must be registered Zip Chunker owner!)
  37.  
  38.             Shipping and Handling add $5 if you    = _____5.00__
  39.             order by CREDIT CARD.
  40.  
  41.             If non-U.S. address please add $2      = ___________
  42.  
  43.  
  44.                                            Total: ______________
  45.  
  46.      Disk Size:     5.25"[   ]  or  3.5" HD[   ]
  47.      (IF NO DISK SIZE IS SPECIFIED YOU WILL RECEIVE 3.5" HD!)
  48.  
  49.      Where did you get Zip Chunker? ________________________________
  50.  
  51.      Comments:
  52.      _______________________________________________________________
  53.      _______________________________________________________________
  54.      _______________________________________________________________
  55.  
  56.