DTOOLS SOURCE CODE ORDER FORM

Please mail this form to:

Tim Noonan
6501 Oakwood Drive
Falls Church, VA 22041
USA

CompuServe ID:  75212,664
Internet:       75212.664@compuserve.com
Phone:          (703) 941-3032

Date: ________________________

Product                                  **Price (US) Qty Subtotal
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DTools 2.0 Source Code (one disk)           $100.00   ___ ________

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Shipping via E-Mail (per disk)              $  2.50   ___ ________

Shipping via Postal Mail (per disk)         $  5.00   ___ ________

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Total                                                   __________

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**All payments must be in US dollars.

SHIPPING DETAILS

Name:             __________________________________________________

Title/Department: __________________________________________________

Company:          __________________________________________________

Address:          __________________________________________________

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State/Province:   __________________________________________________

Post/ZIP Code:    __________________________________________________

Country:          __________________________________________________

Phone:            (________)________________________________________

Fax:              (________)________________________________________

E-mail:           __________________________________________________

Thank you for your order.