Order Form for "Archimede the Astrologer" ----------------------------------------- Please fill in this form and mail it to: Falgor, Archimede & Neiki PO Box 1631, Station "B" Montreal (Que) H3B 3L3 CANADA Cost of one (1) copy of "Archimede the Astrologer": Canadian residents: $120.00 (Can) (taxes included) US residents and others: $ 95.00 (US) *** ONLY Checks or money orders in US or Canadian funds *** are accepted. DISK FORMAT: [ ] 3.5" - 1.44 MB (no additional cost) [ ] 5.25" - 1.2 MB ($5.00 surcharge) Name: ___________________________________ Address: ___________________________________ City: ___________________________________ State (province): __________ Zip (postal) code: __________ Country: _________ E-Mail address: ___________________________ (optional) Can we send you E-Mail about new versions and tips on how to use this product? [ ] Yes, I want to receive E-Mail about new versions of your astrology softwares & tips on how to use this one. [ ] No, Please don't send me any E-Mail unless I ask you a question. _________________________________________________________________ (c) Copyright 1994 by Falgor, Archimede & Neiki.