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  1.  
  2.  
  3.          =======  =====    ======
  4.          ==      ==   ==  ==           THE International Nonprofit
  5.          ====    ==   ==  ==  ===         Computer Users Group
  6.          ==      ==   ==  ==   ==
  7.          ==       =====    =====        Disk Library Order Form, version 2/91.
  8.     
  9.     Disks: <attach the list of library disks you want to order>
  10.     
  11.     Except for the FogScan catalog and Fog Starter disks, Fog library
  12.     disks are available only to current members.
  13.  
  14.     Name: _________________________   Check one: __ Fog member  __ New member
  15.     
  16.     Fog member Number: ______  Expires: ____   Computer type ________________
  17.     Address: ____________________________________
  18.              ____________________________________
  19.              ____________________________________
  20.     
  21.     Disk Format (check one):  __ 5.25" 360K  __ 5.25" Hi density  __ 3.5" 720K
  22.  
  23.                               __ other _______________________________________
  24.     
  25.     Note: CP/M users who cannot read Osborne SSDD *MUST* specify the disk
  26.           format they CAN read.
  27.     Qty    Item                                   Price ea.   Extension
  28.     --------------------------------------------------------------------
  29.            5.25" 360K (& most CP/M) disks (9 or fewer) $4
  30.            5.25" 360K (& most CP/M) disks (10 or more) $3
  31.            5.25" Hard sectored (CP/M)                  $5
  32.            8"    SSSD (CP/M)                           $5
  33.            3.5"  720K disks (& some CP/M)              $5
  34.            Latest FogScan program/data disk set
  35.             (5.25" 360K or Osborne SSDD format only)  $10
  36.            Fog Starter disk (great utilities!)         $4
  37.  
  38.                                               Total for disks: $__________
  39.            Shipping/handling
  40.                       ($1 for each increment of $25 in order): $__________
  41.            Membership
  42.                  PRIMARY (includes telephone technical support, 
  43.                           BBS and library privileges, Fog's 
  44.                           publication, etc.   $40/year):       $__________
  45.                  ASSOCIATE (BBS and library privileges only; no
  46.                           support or publication $19/year):    $__________
  47.     
  48.                                                 Total payment: $__________
  49.     
  50.     For foreign orders or to order 1st class delivery of Fog's publication,
  51.     contact the Fog office for the current postal surcharges that apply.
  52.     
  53.     Payment (check one):  __ Check  __ Money order  __ Visa  __ MasterCard
  54.     
  55.     Credit card Number:  __________________________ Expiration date: _____
  56.     
  57.     Send to Fog International Computer Users Group, Inc.,
  58.             P.O. Box 1030
  59.             Dixon, CA  95620-1030
  60.             U.S.A
  61.      Phone  (916) 678-7353 weekdays between 11 a.m and 5 p.m. Pacific time.
  62.     
  63.     Especially if you are a new member, please be sure to complete the
  64.     survey on the following page.
  65.  
  66.          =======  =====    ======
  67.          ==      ==   ==  ==           THE International Nonprofit
  68.          ====    ==   ==  ==  ===         Computer Users Group
  69.          ==      ==   ==  ==   ==
  70.          ==       =====    =====             Member Information
  71.     
  72.     Note:  Fog is a nonprofit self-help organization.  Members are users
  73.            of personal computers and related software.  The information
  74.            you give in this form will not be made public.  It will be
  75.            used to update the statistics we keep about members' interests.
  76.     
  77.     
  78.     Name: _________________________________________     Member No. _________
  79.     
  80.     Member of which local group? ___________________________________________
  81.     
  82.     Home Phone: _____________________  Work Phone: _________________________
  83.     
  84.     Computer type(s)? ______________________________________________________
  85.     
  86.     Modem type(s)? _____________________ Printer type(s) ___________________
  87.     
  88.     Peripherals? ___________________________________________________________
  89.     
  90.     Are you using computer(s) __ At home   __ At work   __ Both
  91.     
  92.     Interests (check all that apply)
  93.  
  94.     __ Word Processing      __ Spreadsheets      __ Data management
  95.     
  96.     __ Education            __ Business          __ Modem communications
  97.     
  98.     __ Graphics             __ Statistics        __ Ham radio
  99.     
  100.     __ Engineering          __ Genealogy         __ Scientific
  101.  
  102.     __ Programming language(s): ________________________________________
  103.     
  104.     __ Other: __________________________________________________________
  105.