Software USA 
Shareware Library Order Form

(To print this form, click on File then Print)

Shipping and Billing information


Please Print


Name:________________________________________________________________


Address:_____________________________________________________________


City/Town:___________________________________________________________


State/Province:__________________ Postal/Zip Code:___________________


Phone:(_____)______-_________ Country:__________ Member #:___________


Payment Methods (Credit Card ONLY)
[ ]MasterCard [ ]Visa [ ]American Express [ ]Discover
Credit Card Number:_______________________________Expiration date:______/______/______


Signature:________________________________


Mail completed form to:
Software USA
Attn:Shareware Archives
9565 Waples Street
San Diego, Ca. 92121


Shareware Titles ordered
Fees: $3.00(US) per program/minimum order of 5 programs
Part Number - Program Name
____________-______________________________________


____________-______________________________________


____________-______________________________________


____________-______________________________________


____________-______________________________________


____________-______________________________________


____________-______________________________________


____________-______________________________________


____________-______________________________________


____________-______________________________________

Subtotal $_____________
Sales Tax $____________ (7.75% - CA residents only)
Shipping $_____________ (Charges $4.95(US)/$7.75 (International))
Total $________________