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 |                          JNS SOFTWARE ORDER FORM                           |
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 | Your Name:______________________________  Alias (If Desired):_____________ |
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 | Street:_____________________________________  Voice Phone:(___) ____-_____ |
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 | City:__________________________ State:___________ Zip Code:_______________ |
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 | BBS Name :____________________________________  BBS Phone:(___) ____-_____ |
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 | BBS Software:_______________ Version #:_____ Modem:________ Baud:_________ |
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 | Where You Downloaded This Game: __________________________________________ |
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 | Fido Net Node # ___:____/____ Circle Your Disk Size:  360K 720K 1.2M 1.44M |
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 | Send Registered Key's:  US MIAL____   FIDO Net Mail____  You Download____  |
 |    If Download, files will be placed on JNS Software Support BBS for you.  |
 |    I will preregister you with first / last name above.                    |
 |    Password you wish to use:__________   Birthdate:___/___/___             |
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 | Payment Type: Money Order____  Check____  COD____  VISA___  MASTER CARD___ |
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 |               For Credit Card orders, below is required.                   |
 | Credit Card #:___________________________  Expiration Date:_______________ |
 | Signature (Required):_____________________________________________________ |
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 |============================================================================|
 |      NAME OF GAME     VERSION       SINGLE NODE      MULTI-NODE   AMOUNT   |
 |============================================================================|
 | In-Between              4.1« B        $15.00           $25.00    ________  |
 | Two-Card Poker          4.1« A        $20.00           $30.00    ________  |
 | The Great White Card    4.1« A        $20.00           $30.00    ________  |
 | Amazing Memory          4.2« A        $20.00           $30.00    ________  |
 | Quote Fall              4.2« A        $20.00           $30.00    ________  |
 | The Puzzle Machine      4.2« A        $15.00           $25.00    ________  |
 | Boxed Poker             4.1« A        $20.00           $30.00    ________  |
 | Soli-Tree               5.2« A        $20.00           $30.00    ________  |
 | Golf Solitaire          4.2« A        $20.00           $30.00    ________  |
 | Kings Last              2.1« A        $15.00           $25.00    ________  |
 | Trapper                 2.1« A        $20.00           $30.00    ________  |
 | Double SoliTree         2.1« A        $20.00           $30.00    ________  |
 | Five Card Draw Poker    2.1« A        $20.00           $30.00    ________  |
 | Yacht                   1.1« A        $20.00           $30.00    ________  |
 | Treasure Trove          1.4« A        $20.00           $30.00    ________  |
 | On The Edge             1.4« A        $20.00           $30.00    ________  |
 | Press Your Luck         1.4« A        $20.00           $30.00    ________  |
 | Match-Two               1.2« A        $20.00           $30.00    ________  |
 | Idiot's Delight         1.3« E        $20.00           $30.00    ________  |
 | All Games With Evalution Keys In Mail (With No Order)   $5.00    ________  |
 | NOTE: (Will Send All Games With DEMO Keys With Paid Order)                 |
 |                                                       SUB TOTAL: ________  |
 | ========================================================================== |
 | Make Payable To JNS Software:         (See NOTE) MINUS DISCOUNT:-________  |
 | Mail To: JNS Software                                     TOTAL: ________  |
 |          P.O. Box 405                         Thank You For Your Support   |
 |          Ona, WV 25545-0405                   Orders Are Shipped Promptly  |
 |============================================================================|
   NOTE: See DISCOUNT.TXT File For Multiple Purchase Discount Pricing. Also
   orders may be made with Visa, Mastercard or C.O.D. On-Line at JNS Software
   Support BBS or by calling voice at (304)733-0113 9am - 11pm EST.