Product:  SideMinder! 1.1                                    Invoice
____________________________________________________________________

To:  Accounts Payable

Please pay the following invoice.  Make the check payable to “John V. Holder” and send to the address listed below.

You must include a copy of this invoice with your payment.

Invoice Approved: ________________________________

Name:
[1]
[2]
[3]
Phone/FAX:   [4]       [5]

Email:   [6]

Comments:   [7]  

Payment Method:   [8][9][10][11]

Price per copy................:   $10.00
Number of copies............:   [12]
Quantity Discount...........:   [13]
Send Latest?...(adds $5):   [14]
Disk Size (800k or HD):   [15]
Sales Tax (CA Only).......:   [16]
Note: Sales Tax is only
collected if you've requested
a disk and you live in
California

Total Due.........................:   [17]

[18]
____________________________________________________________________
Print this form and send your check (made payable to “John V. Holder”) to:

John V. Holder                                                           Email addresses (AOL is preferred):
1734 "S" Street                                                        America Online:  JohnHolder
Eureka, CA  95501                                                   Internet...........:  JohnHolder@aol.com
USA                                                                            CompuServe....:  75040,1126

Home Page:   http://www.northcoast.com/~jvholder
(check for the latest new releases and updates!)

FAX:  (707) 443-3813