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  1.                  O R D E R   F O R M                 Ver-2.65
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  3.  
  4.        TO:  J K Powers                                Date______________
  5.         4604 Trafalgar Lane
  6.         Carlsbad, CA  92008
  7.         U.S.A.
  8.         1-800-336-CAPN
  9.  
  10.      From:  Name    ____________________________________________________
  11.  
  12.         Address ____________________________________________________
  13.  
  14.         Address ____________________________________________________
  15.  
  16.         Address ____________________________________________________
  17.  
  18.         Area Code (______)  Phone __________________________________
  19.  
  20.  
  21.      Format:  5 1/4 ____  3 1/2 ____  (Specify only one.)
  22.  
  23.      SUGGESTED DONATIONS
  24.  
  25.         REGISTRATION FEE------               EACH-----  EXTENDED
  26.  
  27.         Captain Blackbeard                   $ 25.00    _______
  28.         Captain Blackbeard Manual            $ 10.00    _______
  29.         Registered user upgrade              $ 10.00    _______
  30.         Blackmail dBase/mail merge program   $ 25.00    _______
  31.         Spyglass                             $ 25.00    _______
  32.         Sextant                              $ 25.00    _______
  33.  
  34.         Foreign Postage                      $  5.00    _______                                          --------
  35.         Site License (Right to copy only per product)
  36.           10-25 Copies        $  12.50 per copy
  37.           25+ Copies          $  10.00 per copy
  38.           Unlimited Copies    $ 900.00
  39.         Total                                           $_______
  40.  
  41.           ALLOW SIX TO EIGHT WEEKS FOR SHIPPING (worst case)
  42.             ALL VALUES ARE IN U.S. DOLLARS
  43.  
  44.       --------------------- User comments ----------------------
  45.  
  46.       I learned about Captain Blackbeard from
  47.          [ ] - Friend                    [ ] - Product Review
  48.          [ ] - Computer Club             [ ] - Mail Order
  49.          [ ] - Work/School Distribution  [ ] - PC-SIG
  50.          [ ] - BBS_____________________  [ ] - Other
  51.  
  52.      Comments suggestions or problems: __________________________
  53.      ____________________________________________________________
  54.      ____________________________________________________________
  55.      ____________________________________________________________
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