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                  Zephyr User Registry v1.43 Order Form  
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Real Name      : _________________________________________________

Handle         : _________________________________________________

BBS Name       : _________________________________________________

Postal Address : _________________________________________________

                 _________________________________________________

                 _________________________________________________

E-Mail Address : _________________________________________________

I would like to recieve my order by:

___ Internet E-Mail
         
___ Snail Mail to the Address Above

I would like to recieve e-mail notifying me about new versions.  _____

I would like to recieve e-mail notifying me about new products.  _____

I agree to the Disclaimer and Use Policy as written in the REGISTRY.TXT and 
will not give my registration code to anyone.

Signature      : _____________________________

Make checks payable to :  Danny Johnson

Send this order form along with $5 to : (Do Not Put A Name Here)
                                        P.O. Box 4574
                                        West Hills, Ca
                                        91308
