Synchronet Callback Order Form
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 1) Purchaser Name  __________________________________________________________
                                                                               
    Company Name    __________________________________________________________

    Street Address  __________________________________________________________
                                                                               
    City  ___________________________  State _____________  Zip ______________

    Home Phone _________________  Work ________________   BBS ________________

    Synchronet Registration #  ___________________ Control Code ______________

 2) Payment Method  ( ) Visa    ( ) MasterCard    ( ) Check/M.O.    ( ) C.O.D.

    Credit Card Number	    _____________________________ Expiration ____/____

    Print Cardholder's Name __________________________________________________

    Cardholder's Signature  __________________________________________________

 3) Media Type (check one)  ( ) 5.25" 1.2MB ( ) 3.5" 1.44MB

 4) Synchronet Callback Verifier				   $ 29.00

		      California residents add sales tax of 7.75%  $

 5) Shipping (check one) ( ) Priority Mail 1-3 day    (USA Only)   $  8.00
			 ( ) Federal Express Next Day (USA Only)   $ 25.00
		       * ( ) Federal Express C.O.D.   (USA Only)   $ 20.00
			 ( ) International AirMail    (Canada)	   $ 10.00
			 ( ) International AirMail    (Elsewhere)  $ 20.00
			 ( ) Download (Account Name:		)  $  0.00

		  Federal Express to Hawaii or Alaska Add $ 10.00  $

		  All payments MUST be made in U.S. funds!  Total  $

         * C.O.D. payments must be money order or certified check.

 6) Make check or money order payable to DIGITAL DYNAMICS.

 7) Send to:		    Digital Dynamics
                            PO Box 501
                            Yorba Linda, CA 92686
                            (714) 529-6328 Voice