DTOOLS ORDER FORM

Please mail this form to:

Tim Noonan
6501 Oakwood Drive
Falls Church, VA 22041
USA

Internet:       75212.664@compuserve.com
CompuServe ID:  tnoonan@erols.com

Date: ________________________

Product                                  **Price (US) Qty Subtotal
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DTools 3.0 Registration (no disks)          $ 50.00   ___ ________

DTools 3.0 Registration w/Source Code       $100.00   ___ ________
           (one disk)
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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:          __________________________________________________

                  __________________________________________________

City:             __________________________________________________

State/Province:   __________________________________________________

Post/ZIP Code:    __________________________________________________

Country:          __________________________________________________

Phone:            (________)________________________________________

Fax:              (________)________________________________________

CompuServe Mail:  __________________________________________________

Internet Mail:    __________________________________________________

Thank you for your order.