Date ______________ Title & Name ______________________ Address ______________________ ______________________ ______________________ Darlene Wagner, 5271 Newton Falls Road, Ravenna, OH 44266-9603, U.S.A. Please supply :- +----------------------------------------------------------+-----------+ | Single user copy of 'Booklet' @ (US)$28.00 | | |----------------------------------------------------------+-----------| | Upgrade copy @ (US)$5.00 | | +----------------------------------------------------------+-----------+ Signed _______________________________ 5.25" 360 Kb or 3.5" 720 Kb floppy required. ________________________ Where did you obtain your copy of 'Booklet'? ________________________ Make & model of printer normally used. ________________________ Version 4.20 Please use block capitals.