Metropolis Order Form
                	=====================


       Name: __________________________________________________

    Address: __________________________________________________

       City: ___________________________ State: _______________

    Country: _______________________ Post/Zip Code: ___________


Payments:
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Payments must be in US Dollars.

   		Metropolis....   	$20.00 

specify your disk size:
                          ____ 5.25" ____ 3.5"
computer:
		          ____ 286  ____ 386  ____ 486

video:
			  ____ CGA  ____ EGA  ____ VGA  ____ Other

Make your check payable to Lori Johnson, and send it to:

	Lori Johnson
	PO Box 1835
	Jacksonville
	OR. 97530