ChatDoor Version 0.01 - Copyright (C) 1994 Alistair Carruthers
                             All rights Reserved.

                    ChatDoor v0.01 ORDER FORM

                      (PLEASE PRINT BELOW)

 Full Name : ______________________________________________________________

 Postal Address : _________________________________________________________

                  _________________________________________________________

                  _________________________________________________________

                  _________________________________________________________


 Zip/Postal Code : ________________________________________________________


 Country : ________________________________________________________________


 Daytime Phone Number : ___________________________________________________


 YOU have to register ChatDoor per Bulletin Board / LAN Server.
 And payment may only be made in US Dollar or S. African Funds
 via CROSSED CHEQUES ONLY.


     Item                 US Dollars      S.Africa Rand    Quantity
     ______________________________________________________________

     ChatDoor - v0.01     $ 12, 00        $ 40, 00         ________



                                                TOTAL : ___________ .



 I, ________________________________, enclose a CROSSED cheque made

 payable to Alistair Carruthers to the value of ___________________,

 for the purchase of ________ copies of ChatDoor v0.01.


 PLEASE SEND YOUR ORDERS AND PAYMENT TO :


 Alistair Carruthers
 ChatDoor v0.01
 4 Heythrop Drive
 Linkside
 Port Elizabeth
 6001
 South Africa


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