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Wildcat Gold - The Optical BBS
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Wildcat Gold - The Optical BBS (The Golden ROM Series)(Volume 4 Number 1)(The Digital Publishing Company)(1992).ISO
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clhlp110.sdn
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ORDER.FRM
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1991-07-03
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2KB
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O R D E R F O R M
===================
Mail To: S.R. Eddy & Associates Phone:(Intnl) (+61) 9 455-1004
267 Acourt Road
CANNING VALE, PERTH
WESTERN AUSTRALIA 6155
____________________________________________________________________
Please tick as appropriate:
Mastercard ____ Visa ____ Bankcard ____ (Australia Only)
Cheque ____ (Sorry... Aust $, drawn on Australian Banks only.)
Card Number: _____________________________ Expiry Date: ________
Name: ________________________________________________________
Signature: ________________________________________________________
Company: __________________________________________________________
Position: __________________________________________________________
Address: __________________________________________________________
City: ________________ State: _______________ Zip/Postcode _____
Country: _____________________ Phone: ___________________________
DESCRIPTION QTY UNIT TOTAL
PRICE AMOUNT
____________________________________________________________________
Within Australia:
ClipHelp (program and manual on disk) ____ @ Aust$48.00 _______
(Price includes airmail postage & packing)
Other than Australia:
ClipHelp (program and manual on disk) ____ @ US$48.00 _______
(Price includes airmail postage & packing)
========
TOTAL ORDER VALUE (Aust/US)$ ________
Preference: 5.25" (360k) Disk ____ or 3.5" (720k) Disk ____