O R D E R   F O R M



           TO:  BLACKBEARD                              Date____/____/____
                1198 East Baseline #113
                San Bernardino, CA 92410




         From:  Name _______________________________________________________

                Address ____________________________________________________

                City __________________________ State ________ Zip _________

                Area Code (______)  Phone __________________________________



                     PRODUCT----------------   EACH-------   EXTENDED-

                     "BLACKBEARD"  editor      $   15.00       _______
                         and coffee cup

                                                               ________

                                                Total          $_______




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

                I learned about BLACKBEARD from
                   [ ] - Friend                    [ ] - Software product
                   [ ] - Computer Club             [ ] - Computer Store
                   [ ] - Data Base Service         [ ] - Other

                Comments or suggestions: ___________________________________
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                problems:___________________________________________________
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