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  1. Eureka Software BOSSTALK Order Form
  2. -----------------------------------
  3.  
  4.     Name: __________________________________________________
  5.  
  6.  Address: __________________________________________________
  7.  
  8.           __________________________________________________
  9.  
  10.           __________________________________________________
  11.  
  12.           __________________________________________________
  13.     
  14. Postcode: ____________________
  15.  
  16.      Tel: ____________________
  17.  
  18.  
  19. Please send me the following software on 
  20.  
  21. 3.5 LD [  ]   3.5 HD [  ]   5.25 LD [  ]   5.25 HD [  ]
  22.  
  23. disks. (Tick ONE box only).
  24.  
  25.  
  26.  QTY        Product                       Price          Total
  27. -----       -------------------------     ---------      ---------
  28.  
  29. [   ]       BOSS TALK PART 1               £4.00         £    .
  30.  
  31. [   ]       BOSS TALK PART 2               £4.00         £    .
  32.  
  33. [   ]       BOSS TALK MULTI PACK           £6.50         £    .
  34.  
  35.  
  36.                                            Postage:      £   0.50
  37.  
  38.                                        GRAND TOTAL:      £    .
  39.  
  40. Payment is by [  ] Cheque   [  ] Postal Order
  41.  
  42.  
  43.  
  44.  
  45.  
  46. Signed ________________________________
  47.  
  48.  
  49.  
  50.       EUREKA SOFTWARE, 115 COURT ROAD, MALVERN, WORCS., WR14 3EF
  51.  
  52.