To order Spirotris 1.2 by mail, please complete the following form
and return it to:

     Georges Petryk
     1 greve joliette
     Levis (Quebec)
     G6V 1E0  CANADA

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               YES! I would like to purchase Spirotris

      Name: ______________________________________________________

   Company: ______________________________________________________

   Address: ______________________________________________________

            ______________________________________________________

      City: _________________________ State/Province: _____

      Zip/Postal Code: __________
 
   Country: ______________________________________________________

 Telephone: ______________________________________________________

 I heard about Spirotris from: ____________________________________


1. Indicate number of units below:

___  Copy(s) of Spirotris Pro.     X   $ 20.00         $__________
___  Copy(s) of Spirotris Deluxe.  X   $ 25.00         $__________
     
     (Site & Dealer inquiries welcome)
                                                      -------------

                                             Total:    $__________


___ I've enclosed a check or money order payable to Georges Petryk

___ I've enclosed the payment in cash (for your own security, send
    your payment via registered mail)


          U.S. and International : payment in US dollar ($20 or $ 25)
          Canada                 : payment in Canadian dollar ($20 or $25)