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 |                    CYBER-TECHNICS SOFTWARE ORDER FORM                      |
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 | Your Name:______________________________  Alias (If Desired):_____________ |
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 | Street:_____________________________________  Voice Phone:(___) ____-_____ |
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 | City:__________________________ State:___________ Zip Code:_______________ |
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 | BBS Name :____________________________________  BBS Phone:(___) ____-_____ |
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 | BBS Software:_______________ Version #:_____ Modem:________ Baud:_________ |
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 | Where You Downloaded This: _______________________________________________ |
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 | Fido Net Node # ___:____/____                                              |
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 | Send Registered Keys:   US Mail____   FIDO Crashmail____   You Download____|
 |                              FIDO Pickup____                               |
 |    If Download, files will be placed on The Circuit Board BBS for you.     |
 |    I will preregister you with first / last name above.                    |
 |    Password you wish to use:_______________     Birthdate:___/___/___      |
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 |    Payment Type:   Money Order____   Check____                             |
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 |     NAME              VERSION       SINGLE NODE      MULTI-NODE   AMOUNT   |
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 | Cyber-Page              3.0           $10.00           $ N/A     ________  |
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 | Shipping:               $1.00 if U.S. Mail or Crashmail          ________  |
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 | Mail to: David Spiller                                                     |
 |          Cyber-Technics                                   TOTAL: ________  |
 |          2 Sorrelwood Cross                   Thank You For Your Support   |
 |          Savannah, GA 31411-2865              Orders Are Shipped Promptly  |
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   Thanks in advance for supporting the SHAREWARE concept!
   Make Checks payable to DAVID SPILLER.
