ORDER FORM
                                 "SQUAREZ"



    Mr/Mrs/Miss ______ Initials _______ Surname ___________________________


    Address _______________________________________________________________


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    Disk Size Required (Please Tick)


            3«" DD _____   3«" HD _____   5¬" DD _____   5¬" HD _____

    (If you`re unsure of disk density (DD or HD), just write down 3«" or 5¬")

    Payment Enclosed (Please Tick)


            œ10 UK & Ireland _____        œ15 Overseas _____


    The following section isn`t essential to placing your order, but it
    would be of great help for me if you could fill it in. Thanks.


    Where did you get your copy of "Squarez"?


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    How would you rate "Squarez" in terms of the following :


            Enjoyment Factor                     / 10
            Originality and innovation           / 10
            Longevity                            / 10         (Give a mark
            Compared to other shareware          / 10            out of ten)
            Value for money                      / 10

    Finally, if you have any more comments you`d like to venture regarding
    "Squarez", BOZZ Software, shareware in general, or anything remotely
    connected with PC software, I`d be more than interested to hear what
    you have to say :

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  Post to: Bozz Software, 71 Burlington Rd, Blackpool, Lancs, FY4 1JS, England