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     Simple Launcher 2.0 Registration Form

     Price: $15.00 (US Dollars only) per CPU (1-10 copies)
     
     If you upload Simple Launcher 2.0 to a BBS that does not already 
     have it, you can take $5 off the total cost of your order.  Please 
     provide proof, including a screen dump of the upload screen and the 
     BBS's name and number.
            
                 1 to 10 CPU's  - quantity ____ @ $15 each = $ ________
                          
                11 to 50 CPU's  - quantity ____ @ $13 each = $ ________
                  
               51 to 100 CPU's  - quantity ____ @ $9  each = $ ________

              101 to 200 CPU's  - quantity ____ @ $6  each = $ ________

              201 to 500 CPU's  - quantity ____ @ $5  each = $ ________

                Over 500 CPU's  - quantity ____ @ $3  each = $ ________

     If you would like me to mail you a copy on disk, please include an
     extra $5 per copy to cover the disk and shipping (only available
     in the USA).  
        
        Please check one: 5.25" Disk ____    3.5" Disk ____

                              Disk and Shipping @ $5  each = $ ________

               $5 Subtraction for BBS upload? (Circle One)  -  YES   NO
                                               
                                               Total Payment $ ________
     
     MAKE CHECKS PAYABLE TO: Ryan C. Braun
                         At: 3052 Arbor Oaks Dr.
                             Dubuque, IA  52001-1516

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    Name: _____________________________________________________________
    
    Address: __________________________________________________________
    
    City: ______________________________  State: ____  Zip: ___________

    Company & Position: _______________________________________________

    Signature: ____________________________________  Date: ____________

  From where did you obtain your copy of Simple Launcher?

  _____________________________________________________________________

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        Comments - Suggesetions - Questions (appreciated):
