PUZZLE BUSTER ORDER FORM

 Name:   ___________________________________________________

 Address:___________________________________________________

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 City:   _______________________  Prov. or State:___________

 Postal Code or Zip:__________

 Phone: (______)________________    Country:________________


 Printer Type ______________________________________________


 # ____ PUZZLE BUSTER(s)  @ $35.00 : _______.____
 Overseas orders please add $ 5.00 for air mail.

 Disk Size required  [5.25" 1.2 meg]   [3.5" 1.4 meg]  Please circle one.
                     [5.25" 360k   ]   [3.5  720k   ]

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- Please enclose a check payable to Greg Duncan.-
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 Where did you get your shareware PUZZLE BUSTER ?
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 Comments please: Its really great to hear folks like you!  
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          Mail to:  Greg Duncan
                    29 Fir Avenue               
                    St. Catharines ON Canada
                    L2P 1B8

           (Please allow 2 to 3 weeks for delivery) 
                    (Probably only one.)