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Software USA - Shareware Library Order Form
(To print this form, click on the print button in the lower right corner of your screen)

Shipping and Billing information (Please Print)
Name
______________________________________________________________
Address
______________________________________________________________
City/Town
______________________________________________________________
State/Province                                      Postal/Zip Code
_____________________________   ________________________________
Country
______________________________________________________________
Phone Number                                     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
9909 Huennekens Street - Suite 200
San Diego, CA 92121-2929

Shareware Titles Ordered Fees: $3.00(US) per program/minimum order of 5 programs

Program Number Title

_____________________________ ________________________________________________________

Subtotal $_____________

Sales Tax $____________ (7.75% - CA residents only)

Shipping $_____________ [Charges $4.95(US)/$7.75 (International)]

Total $________________

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