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  1.                   TO ORDER: CALL TOLL-FREE 1-800-707-5148
  2.                   =======================================
  3.                                                        
  4.                         INVOICE/REGISTRATION FORM
  5.                           PURGE - VERSION 2.22
  6.  
  7.      Enter the following:
  8.  
  9.      a) Total number of copies  = ___
  10.  
  11.      b) Enter number of copies (2 OR LESS)   ___ x $69.95 = _____
  12.  
  13.      c) Enter number of copies (MORE THAN 2) ___ x $19.95 = _____
  14.  
  15.      d)                                          Subtotal = _____
  16.  
  17.      e)                 KY residents: add 6% KY sales tax = _____
  18.  
  19.      f)                                         Enter S/H = $3.00
  20.  
  21.      g)                                         Total Due = _____
  22.  
  23.      Please make your check or money order payable to: 
  24.         Blue Ridge Software, Inc.
  25.  
  26.      Non-US customers may pay in cash or certified bank draft 
  27.        in U.S. dollars.
  28.      Mail to:
  29.        Blue Ridge Software, Inc.
  30.        235 Southport Drive
  31.        Lexington, KY  40503
  32.  
  33.  
  34.      Credit Card Customers: 
  35.      ----------------------
  36.  
  37.      VISA / Mastercard / AMEX (circle one)
  38.  
  39.      Card number: ____________________________________
  40.  
  41.      Expiration date: ________
  42.  
  43.      Signature: _____________________________________ (Must be signed)
  44.  
  45.      Shipping Address:
  46.      -----------------
  47.  
  48.      Name:____________________________________________________________
  49.  
  50.      Company name:____________________________________________________
  51.  
  52.      Address:_________________________________________________________
  53.  
  54.      City/State/Zip/Country:__________________________________________
  55.  
  56.      Your order will be shipped within a few days of the receipt
  57.      of this form.  Special shipping conditions can be arranged
  58.      if an order is placed by phone for PO customers.  
  59.  
  60.      THANKS FOR YOUR ORDER!    
  61.  
  62. 
  63.