============================================================================== TANGERINE SOFTWARE COMPANY 4241 S. MARQUIS WAY SALT LAKE CITY, UTAH, 84124 USA ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Your full legal name: ______________________________________________________ (please print) Last First MI Your mailing address: ______________________________________________________ Home Phone:(___) ___-____ __________________________________________ City State Zip-Code Business Phone:(___) ___-____ Title:____________________________________ Home BBS Phone (if available):(___) ___-____ Baud/Hours:______________ Bulletin Board Name:_____________________________ Theme:____________________ Software Being Used:________________________ Modem:_________________________ ------------------------------------------------------------------------------- If you have already purchased GETMAIL, enter your SNP:____________________ ------------------------------------------------------------------------------- PAYMENT TYPE: [ ]=CHECK [ ]=MONEY ORDER Item Description Qnty @ Price Total =========================================== ==== ======= ========= GETMAIL registration 5-1/4" disk.......... ____ $20.00 $_______ GETMAIL registration 3-1/2" disk.......... ____ $22.00 $_______ GETMAIL UPDATE PACKET 5-1/4" disk......... ____ $3.50 $_______ GETMAIL UPDATE PACKET 3-1/4" disk......... ____ $4.50 $_______ Utah Residents add 6.25% sales tax....................... $_______ Shipping/Handling: within UTAH FREE....... ____ $2.00 $_______ AIR MAIL United States.................... ____ $5.00 $_______ ==================================================================== Total $ ______ PLEASE MAKE CHECKS PAYABLE TO: TANGERINE SOFTWARE 4241 S. MARQUIS WAY SALT LAKE CITY, UTAH, 84124 USA ============================================================[ Frm 01-20-93 ]===