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- DiskTrak for Windows Order Form
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- Name: _______________________________________________
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- Company: _______________________________________________
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- Address: _______________________________________________
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- _______________________________________________
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- City: _______________________________ State: ______
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- Country: _________________ ZIP/Postal Code: ___________
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- Method of payment:
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- ____ check for $25.00 (US) made payable to Peninsula Software
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- ____ Visa or MasterCard credit card ($27.50 total)
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- Note: Visa/MasaterCard orders are acceptable, but Peninsula
- Software must charge a bank processing fee of $2.50
- for all credit card orders.
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- Credit Card type: ____ Visa ____ Mastercard
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- Credit Card Number: ___________________________
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- Expiration Date: _______________
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- Signature: _____________________ Date: ______________
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- Comment: _________________________________________________
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- _________________________________________________
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- _________________________________________________
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- Send to: Peninsula Software
- 28510 Blythewood Drive
- Palos Verdes CA 90274
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- -----> Thank you for supporting shareware <-----
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