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                         FastPlus II - Version 1.0
                                Order Form
                  Print clearly, a human has to read this....

           Name : _________________________________________________
         Street : _______________________________________________
           City : ____________________  State/Prov : ______________
Zip/Postal Code : _______________


I would like to order the following (mark choice with an X) :

( ) - FastPlus II, Version 1.0, Manual & Disk..................... $30.00
( ) - FastPlus II Manual Only (reg users only).....................$15.50
( ) - FastPlus II Version 1.0 & FastTerm Version 13+...............$40.00


Modem Type : _________________________________________
Computer   : ( ) 4       ( ) 4P        ( ) 4D
Drives     : ( ) Hard Drive


                Enclosed is a ( ) Check or ( ) Money Order

                                              Amount Enclosed : ____________

Send this form to Mel Patrick, 13699 70A Ave, Surrey, B.C., Canada, V3W 2J8

        Please make checks/money orders payable to Mel Patrick

Allow 2 - 3 weeks for delivery. Prices shown INCLUDE shipping, no additional
charge to most destinations (except Europe).

                            Thanks for your support!

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