             ***** RadioRaft 2.1 Order Form *****

Payment accepted by:
- money (bank notes)           - eurocheque in French Francs
- travellers checks            - checks on foreign banks

Any currency of the following countries are accepted:
all European countries, Australia, Canada, Japan, New Zealand, USA.

For payment by check, the currency must be the SAME as that of the country
where the bank is located (US$ for US check, DM for German check...).
For payment in any currency other than US$, please convert yourself the
amount of US$30 in your home currency.
For payment in French Francs by money, eurocheque, check on French banks,
the amount is 150 FF.

To order, send this order form with your payment to:
               Francois Guillet
               17 rue Michel Delalande
               F-44800 St-Herblain
               France                       Email: F6FLT@TheOffice.net


Site licenses: a site license for RadioRaft entities an organization to
receive one copy of the distribution package and duplicate it for the
specified number of copies. Prices guaranteed through 1997 and apply to
RadioRaft version 2.1.

Please fill in the information below:

Single Copy:                 ____ copies at $30 each         ________

Site License:
      5 to 20 machines:      ____ machines at $20 each       ________
      over 20 machines:      ____ machines at $10 each       ________

Total payment                                                ________



Name:             ___________________________________________
Organization:     ___________________________________________
Address:          ___________________________________________
Address:          ___________________________________________
City, State, Zip: ___________________________________________
Country:          ___________________________________________

Phone(s):         ___________________________________________
Ham callsign:      __________________________________________
EMail Address(es): __________________________________________


Where did you hear about RadioRaft? ________________________

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