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 |                          JNS SOFTWARE ORDER FORM                           |
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 | Your Name:______________________________  Alias (If Desired):_____________ |
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 | Street:_____________________________________  Voice Phone:(___) ____-_____ |
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 | City:__________________________ State:___________ Zip Code:_______________ |
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 | BBS Name :____________________________________  BBS Phone:(___) ____-_____ |
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 | BBS Software:_______________ Version #:_____ Modem:________ Baud:_________ |
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 | Where You Downloaded This Game: __________________________________________ |
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 | Fido Net Node # ___:____/____ Circle Your Disk Size:  360K 720K 1.2M 1.44M |
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 | Send Registered Key's:  US MIAL____   FIDO Net Mail____  You Download____  |
 |    If Download, files will be placed on JNS Software Support BBS for you.  |
 |    I will preregister you with first / last name above.                    |
 |    Password you wish to use:__________   Birthdate:___/___/___             |
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 | Payment Type: Money Order____  Check____  COD____  VISA___  MASTER CARD___ |
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 |               For Credit Card orders, below is required.                   |
 | Credit Card #:___________________________  Expiration Date:_______________ |
 | Signature (Required):_____________________________________________________ |
 |============================================================================|
 |     NAME OF GAME     VER   PRICE         NAME OF GAME        VER   PRICE   |
 |============================================================================|
 | In-Between           4.1B  $15 ___  Two-Card Poker         4.1A  $15 ___ |
 | The Great White Card 4.1A  $15 ___  Amazing Memory         4.2A  $15 ___ |
 | Quote Fall           4.2A  $15 ___  The Puzzle Machine     4.2A  $15 ___ |
 | Boxed Poker          4.1A  $20 ___  Soli-Tree              5.3    $20 ___ |
 | Golf Solitaire       4.3    $20 ___  Kings Last             2.1A  $15 ___ |
 | Trapper              2.1A  $15 ___  Double SoliTree        2.2    $20 ___ |
 | Five Card Draw Poker 2.1A  $20 ___  Yacht                  1.1A  $20 ___ |
 | Treasure Trove       1.4A  $20 ___  On The Edge            1.4A  $20 ___ |
 | Press Your Luck      1.4A  $20 ___  Match-Two              1.2A  $15 ___ |
 | Idiot's Delight      1.4    $20 ___  Strike's & Spares       1.0   $20 ___ |
 | Bomb Squad           1.0    $15 ___  The ELIMINATOR          1.0   $20 ___ |
 | Slider Solitaire     1.0    $20 ___  Three Shuffles & A Draw 1.0   $20 ___ |
 | Free Cell Solitaire  1.0    $20 ___                                        |
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 |                      ALL GAMES ARE MULTI-NODE CAPABLE                      |
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 | All Games With Evalution Keys In Mail (With No Order)   $5.00    ________  |
 |      NOTE: (Will Send All Games With Paid Order)                           |
 |                                                       SUB TOTAL: ________  |
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 | Make Payable To JNS Software:         (See NOTE) MINUS DISCOUNT:-________  |
 | Mail To: JNS Software                                     TOTAL: ________  |
 |          P.O. Box 405                         Thank You For Your Support   |
 |          Ona, WV 25545-0405                   Orders Are Shipped Promptly  |
 | Order with VISA, MASTERCARD, DISCOVER & COD By CALLING VOICE (304)733-0113 |
 |============================================================================|
 NOTE: Take a DISCOUNT when order multiple doors. Check Precentage Chart Below.
                   Order  3 to  8 Doors take a 15% Discount
                   Order  9 to 14 Doors take a 20% Discount
                   Order 15 to 20 Doors take a 25% Discount
                   Order   ALL    Doors take a 30% Discount
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