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  1. ------------------------------[ ORDER FORM ]---------------------------------
  2. Pow Productions
  3. Attn: Anthony Hamilton             Contact us on the Internet:
  4. 43 Holcombe Crescent               http://kublai.pacificrim.net/~solaris
  5. Ipswich, IP2 9QL                   conan@enterprise.net
  6. England
  7. -----------------------------------------------------------------------------
  8.  
  9.           Prices are POUNDS STERLING, and are fully inclusive.
  10.           This order form is for orders in the United Kingdom.
  11.  
  12.   Please check the appropriate [ ] boxes below and add up the totals.
  13.  
  14. [ ] Powball (3.5" High Density disks only).................(@ £10) __________
  15.  
  16.      For shipping to non-EC countries, please add £2 extra postage __________
  17.  
  18.                                                     Total enclosed __________
  19.  
  20.  
  21.         Name: _______________________________________________________________
  22.  
  23.    Address 1: _______________________________________________________________
  24.  
  25.    Address 2: _______________________________________________________________
  26.  
  27.    Address 3: _______________________________________________________________
  28.  
  29.      Country: ____________________  Phone: __________________________________
  30.  
  31. Please make your [ ] Cheque or [ ] Postal Order payable to Anthony Hamilton
  32.