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  1.  
  2.                  O R D E R   F O R M
  3.                                   Gen-7.46
  4.  
  5.        TO:  BLACKBEARD                              Date______________
  6.         PO Box 638
  7.         San Bernardino, CA 92402
  8.         U.S.A.
  9.  
  10.      From:  Name    ____________________________________________________
  11.  
  12.         Address ____________________________________________________
  13.  
  14.             ____________________________________________________
  15.  
  16.             ____________________________________________________
  17.  
  18.         Area Code (______)  Phone __________________________________
  19.  
  20.  
  21.              SUGGESTED DONATIONS
  22.  
  23.              REGISTRATION FEE------   EACH-------   EXTENDED-
  24.  
  25.              "BLACKBEARD"   editor      $   20.00       _______
  26.               includes free gift and
  27.               latest version
  28.  
  29.              Registered user upgrade    $    7.00       -------
  30.  
  31.              Foreign Postage            $    5.00       _______                                          --------
  32.  
  33.              Site License (right to copy only)
  34.                10 Copies                $  100.00
  35.                100 Copies               $  500.00
  36.                Unlimited Copies         $  900.00
  37.  
  38.                         Total          $_______
  39.  
  40.              ALL VALUES ARE IN U.S. DOLLARS
  41.  
  42.              We request payment in U.S. funds; a check drawn on
  43.              a U.S. bank, a postal money order in U.S. funds,
  44.              or, U.S. currency.  We are sorry that we cannot
  45.              process credit cards.
  46.         --------------------- User comments ----------------------
  47.  
  48.         I learned about BLACKBEARD from
  49.            [ ] - Friend                    [ ] - Software product
  50.            [ ] - Computer Club             [ ] - Computer Store
  51.            [ ] - Data Base Service         [ ] - PC-SIG
  52.            [ ] - Source                    [ ] - IBM/NET
  53.            [ ] - Site license              [ ] - Other
  54.  
  55.         Comments suggestions or problems: __________________________
  56.         ____________________________________________________________
  57.         ____________________________________________________________
  58.         ____________________________________________________________
  59.  
  60.  
  61.