TRANSCAN (tm) ORDER FORM Use this form to order TranScan v5.21 & TranScan Gold v1.xx. Shareware Services Tech Support: 913-232-5584 1027 SW Randolph Ave BBS.........: 913-232-5586 Topeka, Ks. 66604 Orders Only.: 800-578-3061 Fido........: 1:281/80 E-Mail..: transcan@cjnetworks.com Internet: http://www.cjnetworks.com/~transcan 旼컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴커 � Name: � 냐컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴캐 � Address: � 냐컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴캐 � City: State: Zip: � 냐컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴캐 � HOME Phone No: � 읕컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴켸 旼컴컴쩡컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴쩡컴컴컴컴쩡컴컴컴컴쩡컴컴컴커 � � 쿛rior to 쿌fter � � 쿜ty 쿔tem �06/30/96 �06/30/96 � Amount � 쳐컴컴탠컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴탠컴컴컴컴탠컴컴컴컴탠컴컴컴캑 � � � � � � � 쿟ranScan v5.21 � $ 35.00 � $ 35.00 �$ � 쳐컴컴탠컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴탠컴컴컴컴탠컴컴컴컴탠컴컴컴캑 � 쿟ranScan Gold v1.xx � � � � � �(Coming soon. See WIN95.NT.FAQ) � $ 79.95 � $ 89.95 �$ � 쳐컴컴탠컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴탠컴컴컴컴탠컴컴컴컴탠컴컴컴캑 � 쿟ranScan Gold v1.xx Upgrade from � � � � � 쿟ranScan v5. Reg No:____________ � � � � � �(Coming Soon. See WIN95NT.FAQ) � $ 39.95 � $ 44.95 �$ � 쳐컴컴탠컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴탠컴컴컴컴탠컴컴컴컴탠컴컴컴캑 � � � � � � � 쿌uto-Upgrade Plan (12 months) � � � � � 쿚rder the Auto-Upgrade plan with � � � � � 퀉our purchase or upgrade and � � � � � 퀁eceive an additional two months � � � � � 쿑REE! � $ 35.00 � $ 35.00 �$ � 쳐컴컴좔컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴탠컴컴컴컴탠컴컴컴컴탠컴컴컴캑 � � � � � � Shipping � $ 5.00 � $ 5.00 �$ � 쳐컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴좔컴컴컴컴좔컴컴컴컴탠컴컴컴캑 � � � � Total �$ � 읕컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴좔컴컴컴켸 旼컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴커 � Distributed by: Shareware Services � 읕컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴켸 旼컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴커 � MasterCard,Visa,American Express & Discover Payments welcome: � � � � Account #: Expiration Date: � 냐컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴캐 � Signature � 읕컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴켸 Your registration will be mailed to you upon receipt.