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Text File  |  1996-08-22  |  1.4 KB  |  33 lines
  1. ------------------------------[ ORDER FORM ]---------------------------------
  2. Pow Productions
  3. Attn: Andrew Griffin               Contact us on the Internet:
  4. 128 Watson Avenue                  http://kublai.pacificrim.net/~solaris
  5. Toorak Gardens                     conan@enterprise.net
  6. 5065 Adelaide, Australia
  7. -----------------------------------------------------------------------------
  8.  
  9.                      Prices are AUSTRALIAN DOLLARS.
  10.                This order form is for orders in Australia.
  11.  
  12.   Please check the appropriate [ ] boxes below and add up the totals.
  13.  
  14. [ ] Powball (3.5" High Density disks only).................(@ $16) __________
  15.  
  16.                              Australian Shipping & Handling (@ $4) 
  17.                                       (International add $4 extra) __________
  18.  
  19.                                                     Total enclosed __________
  20.  
  21.  
  22.         Name: _______________________________________________________________
  23.  
  24.    Address 1: _______________________________________________________________
  25.  
  26.    Address 2: _______________________________________________________________
  27.  
  28.    Address 3: _______________________________________________________________
  29.  
  30.      Country: ____________________  Phone: __________________________________
  31.  
  32. Please make your [ ] Cheque or [ ] Postal Order payable to Mr. Andrew Griffin
  33.