Please fill out this form and send it along with your payment to the address below... Julio Cesar Lic‚a 7607 West Fountain Avenue Apartment #1 Los Angeles, CA 90046 Please make checks payable to Julio Licea. Please send any questions or comments to me via Internet at the following Internet address... julio@ghs.uucp.usc.edu -------------------------Please print or type-------------------------- [GEOC303] [Order Form] Qty. Description Price Total ----------------------------------------------------------------------- --------- Student Geometry Calculator $10.00 ---------- Program Standard Version _________ Geometry Calculator Program $2.00 __________ Major Update Shipping and Handling $1.00 __________ Note that all floppy disks sent will be 3.5", 720k disks. Total....... __________ Please fill out the following information... Full Name: ___________________________________ Phone: _________________ Address (No P.O Box): _________________________________________________ City: ____________________________ State: ______ Zip Code: __________ Email address (if any): _______________________________________________ Signature (security purposes only): ___________________________________ Comments or Questions: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________