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Check_Money Order Form
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2004-09-06
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--------------- Diet Sleuth CHECK / MONEY-ORDER ORDER FORM ---------------
I would like to order _______ copies of Diet Sleuth.
The price per copy is $34.99 US funds.
I would like to order _______ copies of the Diet Sleuth/Health Tracker Combo @ $39.99
____ If you would like a CD-ROM, check here and include $10.00
Total amount enclosed: _______________ in US funds.
Maryland residents add 5% sales tax.
Your registration code(s) will be sent via email. Please make sure to include a valid email address, and write clearly.
Please send my registration code to:
Name: _________________________________________________________________
Email address: ________________________________________________________
All payments must be in US funds drawn on a US bank, or by money order or cash. Foreign currency accepted. Checks only accepted from US customers.
Please make checks and money orders out to: Black Cat Systems
Please mail this form to:
Black Cat Systems
4708 Trail Court
Westminster, MD 21158
USA
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