***** FlexPac Order Form *****


Your Name  ____________________________________________________________


Address    ____________________________________________________________


           ____________________________________________________________


State/Zip  ____________________________________________________________


Callsign   ____________________________________________________________


Diskette   _____________ 3.5"                 _____________ 5.25"


Prices:       Individual copy         Club Member *           Upgrade
              -------------------+----------------------+------------
 Full Version     $75            |        $65           |     $25
              -------------------+----------------------+------------
 No Log           $40            |        $35           |     $15
              -------------------+----------------------+------------

Please add $3 per package for S&H.


Amount Enclosed         $_____________________________


* Club Discount:

   Discounted prices are available to established club members. If
your club wants to established a club membership, you must register
5 or more members in the initial order.  Once you have established
the club membership, all subsequent orders (even if just one at a
time) will get FlexPac at the club member price.  Write to the
address below for club membership information.


Mail this form to:

   Rich Thorne WB5M
   133 Light Falls Drive
   Wake Forest, NC 27587

Tnx es 73 - Bob ND2O and Rich WB5M