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  1.  
  2.  
  3.                                    DOS HELP ORDER FORM
  4.  
  5.  
  6.  
  7.             Qty       Product                     Price       Total
  8.            ______________________________________________________________
  9.  
  10.  
  11.             ____   DOS HELP for DOS 4.0    @ $ 34.95     __________
  12.  
  13.  
  14.  
  15.                __ Check             __ Visa             __ 5.25" Disks
  16.  
  17.                __ Money Order       __ MasterCard       __ 3.5" Disks
  18.  
  19.  
  20.            ┌─────────────────────────────────────────────────────────────┐
  21.            │                  Credit Card Information                    │
  22.            ╞═════════════════════════════════════════════════════════════╡
  23.            │                                                             │
  24.            │   Name   ________________________________________________   │
  25.            │                                                             │
  26.            │   Number ________________________________________________   │
  27.            │                                                             │
  28.            │   Expiration Date _______________________________________   │
  29.            │                                                             │
  30.            │   Cardholder Signature __________________________________   │
  31.            │                                                             │
  32.            └─────────────────────────────────────────────────────────────┘
  33.                 CALL 301-696-9677 FOR PHONE ORDERS WITH CREDIT CARDS
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  37.         Name _______________________________________________________________
  38.  
  39.  
  40.         Address ____________________________________________________________
  41.  
  42.  
  43.                 ____________________________________________________________
  44.  
  45.  
  46.         City ___________________________  State ________  Zip ______________
  47.  
  48.  
  49.         Phone __________________________   Date ____________________________
  50.         Please write any additional comments on the back.
  51.  
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  54.  
  55.         ────────────────────────────── MAIL TO ─────────────────────────────
  56.  
  57.  
  58.                                    DOS Help Orders
  59.                                The Computer Connection
  60.                               1306 Bailes Lane, Suite F
  61.                                  Frederick, MD  21701
  62.