ORDER FORM FOR SIMEDIT REGISTRATION:

Print out and mail to:

Matt Kalinowski
RD 1 Box 107
Smithton PA 15479

NAME_________________________________________

ADDRESS______________________________________

CITY___________________ STATE___ ZIP_________

Enclosed:$_______

If enclosed is more than 5$:

  1. Disk Size:  3.5____ 5.25____
 
  2. Your username on The Bossanova Bassalope:_________________________

  3. Personal Message:_________________________________________________

      
Comments:______________________________________________________________

         ______________________________________________________________

Please allow 4 weeks for delivery if disk order.