B-LOGIN V2.0 ORDERING FORM
                        
Shipping Address:
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Send to payment and order form to:

BLAZE Technologies, Inc.
2100 S. 7th St.
Rapid City, SD, USA 57701


Person to contact in case of questions: __________________________
                                Title:  __________________________
                                Email:  __________________________
                                Voice:  __________________________
                                FAX:    __________________________
                        

B-Login v2.0 Login Shell and Screen Editor package      $ 55

Additional Login Shell copies           ____ @ $25 each $________
Additional Screen Editor copies         ____ @ $35 each $________

In South Dakota, USA  add 4% sales tax                  $________

Foreign orders add $10 US dollars for handling fees     $________

Total Due in US dollars                                 $________


Ordering Date __/__/__

Netware version currently being used: __ V2.2 __ V3.1x __V4.0x

What other network utilities would you like to see developed?
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Thank you for supporting B-Login!