ORDER FORM/INVOICE

       To:  Eggshell Software                  Date:
            P.O. Box 11147
            Alexandria,  Va    22312

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                                ** IMPORTANT **
    MY DISTRIBUTION ARCHIVE WAS REGISTERED TO:____________________________

                                SERIAL NUMBER:____________

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     From:__________________________________

          __________________________________

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    REGISTER TO: __________________________________
                     (If Different From Above)


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     QUAN   PRODUCT NAME / DESC                                   PRICE
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      1     Biorhythms Version 3 Release Registration              25.00

              Postage and Handling				    2.00

      1    Va Residents Add 4 1/2% State & Local Tax                1.13

    TOTAL ENCLOSED      (27.00 Out of State, 28.13 VA Residents)  ________


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          Please Remember to Include The Serial Number from Your Copy