O R D E R   F O R M / TriConferenceQueueStatistics v2.0

Checks and money orders must be payable  in  US  dollars  only  and  made
payable to Doug Henderson. To register this product,  please  print  this
order  form, fill in the appropriate information, and send it  with  your
check or money order for $5.00 to:

		       Doug Henderson
		       640 Emerson Drive
		       Mooresville, NC 28115

Be sure that you give me your personal name and BBS name EXACTLY  as  you
have them configured on your board!


	    Name: _______________________________________________________

	 Address: _______________________________________________________

		  _______________________________________________________

	    City: _______________________________________________________

      State/Prov: _______________________________ Postal Code: __________

	 Country: _______________________________________________________

    Phone Number: _______________________________________________________

	BBS Name: _______________________________________________________

BBS Phone Number: _______________________________________________________

 Fidonet Address: _______________________________________________________

ͻ 
 How do you want me to get your registration code to you?                 
                                                                          
 [ ] Mail it to me.                                                       
                                                                          
 [ ] I will call Node Carolina and create an account so you can post my   
     code to me in a private message.                                     
ͼ
  
  suggestions or: _______________________________________________________
  comments are
  welcome         _______________________________________________________

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		  _______________________________________________________

		  _______________________________________________________

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