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                        TANGERINE SOFTWARE COMPANY
                            4241 S. MARQUIS WAY
                     SALT LAKE CITY, UTAH,  84124  USA
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 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:_________________________

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  If you have already purchased GETMAIL, enter your SNP:____________________

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              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  $_______

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                                                       Total $ ______
  PLEASE MAKE CHECKS PAYABLE TO: TANGERINE SOFTWARE
                                 4241 S. MARQUIS WAY
                                 SALT LAKE CITY, UTAH,  84124  USA

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