				 O R D E R   F O R M                 Ver-2.65


	   TO:  J K Powers                                Date______________
		4604 Trafalgar Lane
		Carlsbad, CA  92008
		U.S.A.
		1-800-336-CAPN

	 From:  Name    ____________________________________________________

		Address ____________________________________________________

		Address ____________________________________________________

		Address ____________________________________________________

		Area 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    _______

	    Foreign Postage                      $  5.00    _______                                          --------
	    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                                           $_______

	      ALLOW SIX TO EIGHT WEEKS FOR SHIPPING (worst case)
			ALL VALUES ARE IN U.S. DOLLARS

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