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		N&D Software - Order Form
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(Please Print)

Name:______________________________________________________

Street:____________________________________________________

       ____________________________________________________

City:_______________________________  State:_______________

Zip:__________

EMail Address (Optional):__________________________________

Where did you find this software? (Optional):

___ CompuServ

___ Temple of Delphi - Web Site

___ Delphi Connection - Web Site

___ Other - please list:  _________________________________

Comments/Suggestions (Optional):

___________________________________________________________

___________________________________________________________

___________________________________________________________

Which component(s) are you registering:

___ N&D Vertical Label ($10)

___ N&D Gauge ($10)

___ N&D Moving Labels(Includes NDRunningLabel & 
      NDQuakeLabel) ($15)

___ N&D Credits ($10)

Total:  $________

Please make your checks payable in US currency to:  

David Naumowicz

Please send this form and your payment to:

David Naumowicz
35321 Rutherford
Clinton Twp., MI  48035
United States
