Order form

Item			price		quantity	extended price
----			-----		--------	--------------
Squetris I		14.95				
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Squetris II		14.95	
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Squetris III		14.95	
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Squetris I & II		24.95
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Squetris I & III	24.95
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Squetris II & III	24.95
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Squetris I & II & III	29.95
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						subtotal     _______

				   shipping and handling	5.00

 	Colorado residents add state and local sales tax     _______	

						   total     _______


METHOD OF PAYMENT

Check or Money Order ___  
	(make payable to Cogitaphilic Corporation)

MasterCard ___  VISA ___

	Expiration Date ______________

	Card Number _______________________________________________

	Card Holder's Signature REQUIRED __________________________


Order by U.S. Mail:
	Cogitaphilic Corporation
	P.O. Box 270614
	Fort Collins, CO 80527
	
or by E-mail to the company president:		
	E-mail:Paul_B_Nash@compuserve.com  



Prices good until December 1998.  
Contact Cogitaphilic Corporation for prices beginning in the year 1999.