  ************************************************************************
  *                                                                      *
  *                  Car Restoration Diary - Version 2.31                *
  *               Copyright (c) 1993  by BlueCollar Software             *
  *                                                                      *
  *                       Published exclusively by:                      *
  *                         RMH Computer Services                        *
  *                              PO Box  657                             *
  *                       Beech Grove IN 46107-0657                      *
  *                            (317)  782-9903                           *
  *                                                                      *
  ************************************************************************

                                  ORDER FORM
                                  ----------

Send registration form and payment to:

        Richard Holler
        RMH Computer Services
        PO Box 657
        Beech Grove IN 46107-0657
        USA

--------------------------------------------------------------------------

        I have enclosed ..(U.S. Dollars)............. ___ $29.00
             Others send International Money Order,
             US Funds, please.

        Indiana residents please add 5% State sales tax.. $_____

        Overseas residents please add $5.00 S/H .......   $_____

                                        Total             $_____

PLEASE PRINT

Name...: __________________________________________________________

Address: __________________________________________________________

       : __________________________________________________________

       : __________________________________________________________

Phone..: ______________________              Sales Code: CRD231JCSM

Email Address (if available): _____________________________________

I would like to receive:  ____ 5-1/4" disks   ____ 3-1/2" disks.


I received this program from: _____________________________________

                              _____________________________________

                              _____________________________________



CREDIT CARD ORDERS
------------------

For fast Credit Card (MC/VISA/DISCOVER) ordering, please call us at 
317-782-9903. Or, you can provide the information (including your 
signature!) in the space below. *ALL* spaced must be completed:

   +------------------------------------------------------------------+ 
   |    We can accept MasterCard, Visa, and Discover credit cards.    | 
   |                                                                  | 
   |           MasterCard [_]    Visa [_]     Discover [_]            | 
   |                                                                  | 
   | Credit Card Number:  ________  ________  ________  ________      | 
   |                                                                  | 
   | Name on the Card: _____________________________________________  | 
   |                                                                  | 
   | Expires: _______   Signature (*)________________________________ | 
   +------------------------------------------------------------------+ 
            (*) NOTE: This *REQUIRES* a hand-written signature! 


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