	Order form for the Currency Exchanger program
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Name: ____________________________________________________________

Address: _________________________________________________________

City: ____________________ Province/State: ________ Code: ________

Country (if not Canada): __________________ Phone: _______________

e-mail address: __________________________________________________

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Each copy of Currency Exchanger (full and registered version) 
costs $15.00 Canadian (includes shipping and handling charges).

How many copies do you want to buy: _________

DISK SIZE:      [ ] 3.5" 720KB    [ ] 5.25" 1.2MB

		[ ] 3.5" 1.44MB     		  

Total ("number of copies" * $15 Canadian): $____________

Signature: _________________________________________

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     Make checks or money orders payable to: Cosmin Smeu.  
     Allow three to seven weeks for delivery.
     Please complete and mail this order form along with
     the check (or money order) to:

			     Cosmin Smeu
			     2020 Jasmine Cr. #610
			     Gloucester, Ontario
			     Canada
			     K1J-8K5

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From where did you get the Currency Exchanger software?

[ ] Internet site		[ ] Downloaded from a BBS

[ ] Retail Shareware Rack	[ ] Shareware Catalog Vendor

[ ] A friend gave it to me 	[ ] None of the above 

[ ] Unknown

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Please feel free to write some of your comments or suggestions
which may improve the program in the future versions:

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=========================== Thank You ============================

    Copyright (C) Cosmin Smeu, 1995-1997.  All rights reserved.
