===========================================================================
Mail this to:  Fred Small                Make check or money order
               pc-dsd software co.       payable to Fred Small  
               1254 Elden Avenue
               Los Angeles,Ca.90006
               BBS: (213)384-5960 1 NODES

          YOUR NAME:_________________________________________
          ADDRESS:___________________________________________
          CITY/STATE:___________________   ZIPCODE:__________
          BBS NAME:__________________________________________
          BBS NUMBER:_(______)________-______________________
          BBS SOFTWARE:______________________________________
          If registered under an ALIAS name please indicate
          your ALIAS:________________________________________


 QMS4 OnLine is shipped on 1HD 3.5" disks, disks included in price.


 SUB-TOTAL (FROM ABOVE)-------------------------->>>>  +____________


 TOTAL ------------------------------------------>>>>  =____________


 I would like to download my keys YES_____  NO_____

 If you are not a user on our BBS, please indicate the
 filename and password for the file. If you are a user
 on our system, we'll leave you a message with the
 filename and password.

 FILENAME:__________________.ZIP   Please be original!
 PASSWORD:__________________

 Additional Costs:
 I would like my order sent on disks.          
 Select disk type below and
 add $5.95 

 (3) 3.5"HD __________    (3) 5.25"HD__________        +____________

 The Total amount of your order! --------------->>>>   = ___________

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CHARGE IT! (Card will be verified by Combined Warning Bulletin!)

     NAME (as it appears on card) ______________________________________
     EXPIRATION DATE: ____/_____
     CARD NUMBER: __________________________________
     SIGNATURE: ____________________________________ DATE: ____________

Comments or suggestions for any of the PROGRAMS

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Orders outside the United States, please use your credit card or
postal money order in U.S. Funds. Any checks received will be
returned! (Too many bounced checks from outside the U.S., sorry!)

