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Order Form.txt
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1999-03-02
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-----Gepeto Software Order Form-----
(Please print this form, fill it out,
and mail it with your payment to complete your order.)
**Make Checks or Money Orders Payable to: Joe Tompkins
Send this completed form with payment to:
Joe Tompkins
130 Wintergreen Ct
Covington, GA 30016
Your Name___________________________________________
-or-
School Name__________________________________________
Email Address
(to receive registration code via Email--Allow 2 weeks for reply):
_____________________________________
Mailing Address
(to receive registration code via postal mail-- allow 5 weeks for reply)
-United States Addresses ONLY-- All others will receive code via email-
Street:_______________________________________________________
City__________________State_________ Zip_________________________
Please indicate the product(s) you wish to register below:
________________________________________________________________________
Product: | Quantity | Unit Price | Total |
-------------------------------------------------------------------------
Vocab-Flash (Single User) | | $10.00 (US) | |
-------------------------------------------------------------------------
Vocab-Flash (Site License) | | $50.00 (US) | |
-------------------------------------------------------------------------
StoryMaker (Single User) | | $10.00 (US) | |
-------------------------------------------------------------------------
StoryMaker (Site License) | | $50.00 (US) | |
-------------------------------------------------------------------------
Kid Cards (Single User) | | $10.00 (US) | |
-------------------------------------------------------------------------
Kid Cards (Site License) | | $50.00 (US) | |
-------------------------------------------------------------------------
Total Enclosed: