				 O R D E R   F O R M                 Ver-3.03


	   TO:  Barry Drake                               Date______________
		9 New Vale Road
		Colwick, Nottingham  NG4 2EA
		Tel: (0602) 619044

	 From:  Name    ____________________________________________________

		Address ____________________________________________________

		Address ____________________________________________________

		Address ____________________________________________________

		Post Code (______)  Phone __________________________________


	 Format:  5 1/4" ____  3 1/2" ____  (Specify only one.)

	 SUGGESTED DONATIONS

	    REGISTRATION FEE------                 EACH-----  EXTENDED

	    Captain Blackbeard                      25.00    _______
	    Captain Blackbeard Manual               10.00    _______
	    Registered user upgrade                 10.00    _______
	    Blackmail dBase/mail merge program      25.00    _______
	    Spyglass                                25.00    _______
	    Sextant                                 25.00    _______

	    If total is less than 25.00, add P&P    1.00    _______                                          --------

	    Site License (Right to copy only per product)
	      10-25 Copies          12.50 per copy
	      25+ Copies            10.00 per copy
	      Unlimited Copies     900.00
	    Total                                           _______

			ALL PRICES ARE IN UK POUNDS

	  --------------------- User comments ----------------------

	  I learned about Captain Blackbeard from
	     [ ] - Friend                    [ ] - Product Review
	     [ ] - Computer Club             [ ] - Mail Order
	     [ ] - Work/School Distribution  [ ] - PC-SIG
	     [ ] - BBS_____________________  [ ] - Other

	 Comments suggestions or problems: __________________________
	 ____________________________________________________________
	 ____________________________________________________________
	 ____________________________________________________________

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