===================== O R D E R F O R M ======================= I wish to register _____ copies of DMS for $15.00 $___________ each. I understand that no diskettes will be sent. However, activation numbers, printed documentation and technical support will be provided. (If ordering more than one copy, please supply all registration names required.) In addition to the above licenses, please send me $___________ a diskette containing the latest version of DMS. (Please include $3.00 for 5.25" and $5.00 for 3.5".) Subtotal $___________ (Kansas Residents please add 5.9% sales tax.) Tax $___________ Total $___________ Payment by: [ ] Check [ ] Money order (US funds only please) Name:____________________________________________________________ Company:_________________________________________________________ Address:_________________________________________________________ City:______________________________ State:______ Zip:__________ Phone:___________________________________________________________ Remit to: Jay Brown BC Systems 7801 Dublin Wichita, KS 67206 =====================================================================