=========================================================================== Mail this to: Fred Small Make check or money order pc-dsd software co. payable to Fred Small 1254 Elden Avenue Los Angeles,Ca.90006 BBS: (213)384-5960 1 NODES YOUR NAME:_________________________________________ ADDRESS:___________________________________________ CITY/STATE:___________________ ZIPCODE:__________ BBS NAME:__________________________________________ BBS NUMBER:_(______)________-______________________ BBS SOFTWARE:______________________________________ If registered under an ALIAS name please indicate your ALIAS:________________________________________ QMS4 OnLine is shipped on 1HD 3.5" disks, disks included in price. SUB-TOTAL (FROM ABOVE)-------------------------->>>> +____________ TOTAL ------------------------------------------>>>> =____________ I would like to download my keys YES_____ NO_____ If you are not a user on our BBS, please indicate the filename and password for the file. If you are a user on our system, we'll leave you a message with the filename and password. FILENAME:__________________.ZIP Please be original! PASSWORD:__________________ Additional Costs: I would like my order sent on disks. Select disk type below and add $5.95 (3) 3.5"HD __________ (3) 5.25"HD__________ +____________ The Total amount of your order! --------------->>>> = ___________ ======================================================================= CHARGE IT! (Card will be verified by Combined Warning Bulletin!) NAME (as it appears on card) ______________________________________ EXPIRATION DATE: ____/_____ CARD NUMBER: __________________________________ SIGNATURE: ____________________________________ DATE: ____________ Comments or suggestions for any of the PROGRAMS _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Orders outside the United States, please use your credit card or postal money order in U.S. Funds. Any checks received will be returned! (Too many bounced checks from outside the U.S., sorry!)