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  1. TO:         Tod Liverseed
  2.             PO Box 422
  3.         Morristown MN 55052
  4.             E-Mail: tgl@means.net
  5.             Phone/Fax: 507-685-4678
  6.  
  7. ****************************************************************
  8. ORDER DETAILS:
  9.  
  10. Please supply the following copies of Com 6.9:
  11.  ____ One copy of Com 6.9               @ US $25.00  = _________
  12.  ____ 2 to 10 copies of Com 6.9         @ US $20.00  = _________
  13.  ____ 11 to 20 copies of Com 6.9        @ US $18.30  = _________
  14.  ____ 21 to 50 copies of Com 6.9        @ US $17.40  = _________
  15.  ____ 51 to 100 copies of Com 6.9       @ US $17.00  = _________
  16.  ____ 101+ copies                       @ US $16.80  = _________
  17.  
  18.  
  19.  
  20. State Tax
  21. Minnesota residents only                + 6.5%
  22.  
  23.                                      = _________
  24.  
  25. Please ship my order by:
  26.  E-mailing of registration code               FREE   = _________
  27.  Number of disks copies required      @ US  $1.00    = _________
  28.  Postal frieght if needed               $10.00    = _________
  29.  
  30. ORDER TOTAL                                   US$    = 
  31.                                                        =========
  32.  
  33. CUSTOMER DETAILS:
  34.  
  35.  Name:         ________________________________________________
  36.  Position:     ________________________________________________
  37.  Organisation: ________________________________________________
  38.  Address:      ________________________________________________
  39.                ________________________________________________
  40.                ____________________ City: _____________________
  41.  State:        ____________________ Zip: ______________________
  42.  Country       ____________________
  43.  Phone:        ____________________ Fax: ______________________
  44.  E-Mail:       ____________________ Compuserve: _______________
  45.