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Name_______________________________   Voice #___________________________

Street/PO__________________________   Data/BBS #________________________

City____________________ State_____   Fax #  ___________________________

BBS Type___________________________   'Puter type_______________________

BBS Name___________________________   Nodes____   CIS # ________________



Copies of single non-commercial type use         ______ @ $10.00 US each
Multiple machine non-commercial single site use  _______@ $30.00 US each
Copies of single commercial type use             _______@ $18.00 US each
Multiple machine commercial type single site use _______@ $55.00 US each
                                                 
                                        Floppies _______@ $3.50 US each 

The full version with VBRUN300 available on 1.44 floppy for an additional
$3.50 US which includes shipping anywhere in the continental US. 

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Please print, fill out, detach and mail the above with check/MO to:

Kevin Kogan
c/o Funky Stuff Software
8 Ocean Pines
Berlin, MD 21811
(410) 208-1539