----------------------- Form for ADVBAS contributions ------------------------
  Please DO NOT use this form to order ProBas!  ProBas should be ordered from
  HCSI using the form contained in PROBAS.DOC.


                              Thomas G Hanlin III

                        =-----------------------------=
                        |    1712 Maple Hill Place    |
                        |    Alexandria, VA 22302     |
                        =-----------------------------=


 Contribution for:

 [  ]     ADVBAS ($25 minimum for disk)
 [  ]     ADVC   ($15 minimum for disk)


 Amount enclosed: $__________


 I use  [  ] ADVBAS   for   [  ]  business
        [  ] ADVC           [  ]  my own use


 Send disk (if applicable) to me at this mailing address:






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