G.L.A.D. Order Form
===================

After completing this form, you may then either send it via
e-mail to glad@greglief.com, facsimile (503-375-6201), or regular 
mail to:

     Greg Lief
     Ground Zero Software
     1214 Wallace Road NW, #313
     Salem, Oregon 97304 USA

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Your Name:         ____________________________________

E-Mail Address:    ____________________________________

Company Name:      ____________________________________

Physical Address:  ____________________________________

City:     		 ____________________________________

State/Province:    ____________________________________

Zip/Postal Code:   ____________________________________

Country:           ____________________________________

Daytime phone:     ____________________________________

Fax:               ____________________________________


I would like to purchase the G.L.A.D. component collection for $99 US. 
I understand that G.L.A.D. includes:

  * the Delphi 1-5 and C++Builder source code for all 60+ components
  * a comprehensive help file
  * ready-to-install packages for Delphi 3, 4, and 5
  * free minor upgrades

[ ] My check or money order in the amount of $99 US (made payable to 
    Greg Lief or Ground Zero Software) is enclosed.  (All checks or 
    money orders should be in U.S. funds drawn on a U.S. bank.)

[ ] I authorize Greg Lief to charge this amount to the following credit
    account:

    Account Number:        ________________________________
    Expiration Date:       ________________________________
    Cardholder Name:       ________________________________
    Cardholder Signature:  ________________________________

I use the following products:
[ ]  C++Builder 1
[ ]  C++Builder 3
[ ]  Delphi 1
[ ]  Delphi 2
[ ]  Delphi 3
[ ]  Delphi 4
[ ]  Delphi 5
[ ]  JBuilder
[ ]  Other Java products

How did you hear about the G.L.A.D. components? (check all that apply)
[ ] Advantage news group
[ ] Borland web site 
[ ] Delphi Magazine review
[ ] Delphi newsgroup: __________________
[ ] Greg Lief's web site
[ ] Friend/colleague recommended it (Name of friend __________________)
[ ] InPrise web site 
[ ] Seminar
[ ] UNDU review
[ ] User group: __________________
