Product:  QuickPop 2.0                                                 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?...............:   [14]
Sales Tax (CA Only)...:   [15]

Total Due....................:   [16]

[17]
____________________________________________________________________
Print this form and send your check (payable to “John V. Holder”) to:

John V. Holder                                                           Email addresses (AOL is preferred):
2862 Lowell Street                                                   America Online:  JohnHolder
Eureka, CA  95501-4315                                         Internet...........:  JohnHolder@aol.com
USA                                                                            CompuServe....:  75040,1126

FAX:  (707) 443-3813