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  1.                             PEPTOOLS v1.5
  2.                       Registration is US $15.00
  3.                  plus US $2.50 (US$3.50 OverSeas) for
  4.                         shipping and handling.
  5.  
  6.              To Order, Make check or money order out to:
  7.  
  8.                             Michael Gillum
  9.                        20806 S. Western Ave. #1
  10.                         Los Angeles Ca. 90501
  11.                             (213) 787-9461
  12.  
  13.   -----------------------------------------------------------------
  14.  
  15.    Please send:
  16.  
  17.    PEPTOOLS Registration Number(s)..... $ 15.00 _______
  18.  
  19.                [Optional]   Source Code $  5.00 _______
  20.  
  21.                   Shipping and Handling $  2.50
  22.                                          ($3.50 Overseas)
  23.  
  24.                                         Total   _______
  25.  
  26.    Disk Size:  5.25" ______   3.5" ______
  27.  
  28.                             [Please Print]
  29.  
  30.    Name   :______________________________________________________
  31.  
  32.    Address:______________________________________________________
  33.  
  34.            ______________________________________________________
  35.  
  36.            ______________________________________________________
  37.  
  38.    Phone (Day):(____)______-_______  Evening:(____)______-_______
  39.  
  40.   I currently have version ______
  41.  
  42.                   (will be automatically updated, if
  43.                    different than the present version)
  44.  
  45.   Comments:_____________________________________________________
  46.  
  47.            _____________________________________________________
  48.  
  49.            _____________________________________________________
  50.  
  51.   [Optional]
  52.  
  53.   Computer Type:________________________________________________
  54.  
  55.   Modem Type And Speed:_________________________________________
  56.  
  57.   Color display [Y/N]: __
  58.  
  59.   Where did you hear about (or receive a copy of) PEPTOOLS?
  60.  
  61.  
  62.   [ ] BBS   Name______________________  Ph #(____)______-_______
  63.   [ ] Sig   Name________________________________________________
  64.   [ ] CompuServe
  65.   [ ] Friend
  66.   [ ] Other ____________________________________________________
  67.  
  68.                    Please Allow 20 days for shipment
  69.