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 |                          JNS SOFTWARE ORDER FORM                           |
 |                                                                            |
 | Your Name:______________________________  Alias (If Desired):_____________ |
 |                                                                            |
 | Street:_____________________________________  Voice Phone:(___) ____-_____ |
 |                                                                            |
 | City:__________________________ State:___________ Zip Code:_______________ |
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 | BBS Name :____________________________________  BBS Phone:(___) ____-_____ |
 |                                                                            |
 | BBS Software:_______________ Version #:_____ Modem:________ Baud:_________ |
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 | Where You Downloaded This Game: __________________________________________ |
 |                                                                            |
 | 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___ |
 |               For Credit Card orders, below is required.                   |
 | Credit Card #:___________________________  Expiration Date:_______________ |
 | Signature (Required):_____________________________________________________ |
 |============================================================================|
 |        NAME OF GAME        VER  SINGLE/MULTINODE   LATEST RELEASE   PRICE  |
 |============================================================================|
 | In-Between                 4.1B      $15             07-22-94      _____  |
 | Two-Card Poker             4.1A      $15             07-22-94      _____  |
 | The Great White Card Game  4.1A      $15             07-22-94      _____  |
 | Amazing Memory             4.2A      $15             07-22-94      _____  |
 | Quote Fall                 4.2A      $15             07-22-94      _____  |
 | The Puzzle Machine         4.2A      $15             07-22-94      _____  |
 | Boxed Poker                4.1A      $20             07-22-94      _____  |
 | Soli-Tree                  5.3        $20             08-06-95      _____  |
 | Golf Solitaire             4.3        $20             08-06-95      _____  |
 | Kings Last                 2.1A      $15             07-22-94      _____  |
 | Trapper                    2.1A      $15             07-22-94      _____  |
 | Double SoliTree            2.2        $20             08-06-95      _____  |
 | Five Card Draw Poker       2.1A      $20             07-22-94      _____  |
 | Yacht                      1.1A      $20             07-22-94      _____  |
 | Treasure Trove             1.4A      $20             07-22-94      _____  |
 | On The Edge                1.4A      $20             07-22-94      _____  |
 | Press Your Luck            1.4A      $20             07-22-94      _____  |
 | Match-Two                  1.2A      $15             07-22-94      _____  |
 | Idiot's Delight            1.5        $20             06-08-96      _____  |
 | Strike's & Spares          1.0        $20             08-06-95      _____  |
 | Bomb Squad                 1.0        $15             08-06-95      _____  |
 | The ELIMINATOR             1.0        $20             08-06-95      _____  |
 | Slider Solitaire           1.0        $20             08-06-95      _____  |
 | Three Shuffles And A Draw  1.2        $20             06-08-96      _____  |
 | Free Cell Solitaire        1.0        $20             08-10-96      _____  |
 | Forty Thieves              1.2        $20             07-29-96      _____  |
 | Tri-Peaks Solitaire        1.0        $20             10-11-96      _____  |
 | ========================================================================== |
 | Make Payable To JNS Software:                         SUB TOTAL: ________  |
 | Mail To: JNS Software                 (See NOTE) MINUS DISCOUNT:-________  |
 | P.O. Box 405  Ona, WV 25545-0405                          TOTAL: ________  |
 |============================================================================|
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   Order with VISA, MASTERCARD, DISCOVER & COD By CALLING VOICE (304)733-0113
 NOTE: Take DISCOUNT When Ordering Multiple Doors. Use 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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