WIZMANAGER ORDER FORM

Please send your check or money order to:
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  Mijenix
  6666 Odana Road, Ste 326
  Madison, WI 53719 Tel&Fax: (608)277-1971  CompuServe: 75430,1545

Please place credit card orders through:
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  Public Software Library (PsL)
  P. O. Box 35705,  Houston, TX 77235-5705
  USA Sales: 1-800-242-4775     Overseas  : (713) 524-6394
  Fax      : (713) 524-6398     CompuServe: 71355,470
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THE PsL NUMBERS ABOVE ARE EXCLUSIVELY FOR PLACING ORDERS WITH
CREDIT CARDS, MIJENIX CANNOT BE REACHED AT THOSE NUMBERS. IF YOU
HAVE QUESTIONS ABOUT THE STATUS OF YOUR ORDER, VOLUME DISCOUNTS,
WIZMANAGER, ETC, PLEASE CONTACT MIJENIX DIRECTLY.
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NAME:	 _________________________________________________________

COMPANY: _________________________________________________________

STREET:	 _________________________________________________________

CITY:	 _____________________________ STATE: _____ ZIP: _________

COUNTRY: _______________________ TEL: _____________ FAX: _________

WizManager (item #10869) $ 39.95 US x ___ unit(s) =  $ _________
Shipping & Handling:
	Continental  U.S.		$  4.00
	AK, HI, CAN, MEX		$  6.00
	International			$ 12.00
	Express USA			$ 20.00    > $ _________ <
					Subtotal:  > $ _________ <
	Wisconsin residents add 5.5% sales tax  :  > $ _________ <

					TOTAL   :  > $ _________ <
Diskette format: __ 5.25"  or __ 3.5"
Payment by: __ Mastercard  __ Visa     __ AMEX     __ Discovery
            __ Check (US)  __ Certified Check (US) __ Money Order

Card #: _________________________________________ Exp. Date: ____

Card Holder Name: _______________________________________________

Signature: ______________________________________________________