O R D E R   F O R M
      
                          D4man - Alesis D4 Editor/Librarian
             (C) Copyright 1992 - Bret Costin and Zorch brotherz software
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      Please send me (check desired items):
      
         ( ) D4man Registered Copy (free shipping and handling)........ $ 29.95
         ( ) D4man Registered Upgrade .................................    FREE
                              Upgrade shipping and handling ........... $  5.00

      
      Payment by: ( )Check  ( )Money Order   Make check payable to: Bret Costin.
   
   
      Media Format (check all acceptable types):
      
         ( ) 360k 5.25"     ( ) 1.2M 5.25"     ( ) 720k 3.5"     ( ) 1.44M 3.5"
   
   
      As a registered user, you will have free access to our technical support
      BBS, "Gulf Coast MIDI Users' Group", at 813-789-5880.  Once registered, 
      you may download your upgrades as they become available.
   
      User Name for use with BBS (first and last):     __________  ____________
      Password  for use with BBS (8 letters or less):  ________________
   
      
      I am in possession of D4man Version  ________
      
      I acquired D4man from:  ______________________________________________
   
      Type of computer, video card, monitor owned:  ________________________
   
      Type of MIDI interface owned:  _______________________________________
   
      Do you use a mouse with this program?  _______________________________
   
      Are you a drummer?  __________________________________________________
      
      Suggestions/Comments:    _____________________________________________
      
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      From:      ____________________________________________
      
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      Mail to:   Bret Costin
                 c/o Zorch brotherz software
                 3475 Rolling Trail
                 Palm Harbor, FL   34684