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|                         Order Form for BVBBS Software                     |
|                                                                           |
|              Please use this form to register your software or            |          
|              order software from BVBBS Software! If you are reg-          |
|              ing software, please allow 2 to 4 weeks to process           |
|              and delivery!                                                |
|                                                                           |
|    Name: ___________________________________________________              |
|                                                                           | 
|    Address: ________________________________________________              |
|                                                                           | 
|    City: _____________________    State: ________  Zip: __________        |            
|                                                                           |
|    BBS Name: ___________________________   BBS Number _____________       |
|                                                                           | 
|    Net Address if available: ______________                               |
|                                                                           |
|    Select Software to register:                                           |
|                                                                           |
|    Program                Check off                Price                  |
|    -------                ---------                ------                 |
|    ROBO-Net Phonebook        ( )                   $10.00/ea              |
|    Auction Door              ( )                   $15.00/ea              |
|    BBS List Database         ( )                   $15.00/ea              |
|    Anti-Hack                 ( )                   $10.00/ea              |
|    Aphorism Door             ( )                   $ 5.00/ea              | 
|    FerSale Door              ( )                   $ 5.00/ea              | 
|    Graffiti Door             ( )                   $ 5.00/ea              |
|    ANSIGallery               ( )                   $ 5.00/ea              | 
|    Lets Make a Deal          ( )                   $ 5.00/ea              | 
|                                                                           |
|   Make checks payable to James S. Williams and send along with this form  |
|   to:                                                                     | 
|                            James S. Williams                              |
|                            72 Newland Ave  1l                             |
|                            Woonsocket, RI 02895                           |
|                                                                           |
|-----------------------[ Do not write below this line]---------------------|                                                                           |
|                                                                           |
|  Authorization Code: ______________         Registration: _______________ |
|                                                                           |
|  CRC Number: ______________________                                       |
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