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Text File  |  1996-02-01  |  845 b   |  37 lines
  1. Make check payable to Harrisoft Inc.
  2.  
  3. Mail To:
  4. Harrisoft Inc.
  5. P.O. Box 132
  6. Kittery ME 03904-0132
  7.  
  8. Please print clearly
  9.  
  10. Last Name:_____________________________________________________
  11.  
  12. First Name:_____________________________________________________
  13.  
  14. E-Mail Address:__________________________________________________
  15.  
  16. Phone:_________________________________________________________
  17.  
  18. Delivery Address (State, (Province), Postal Code):
  19.  
  20. ________________________________________________________________
  21.  
  22. ________________________________________________________________
  23.  
  24. ________________________________________________________________
  25.  
  26. Price Each      Quantity        Total
  27. $49.95                               
  28.  
  29. Shipping and Handling:
  30. $5 US $10 outside the U.S.
  31.                                 Order Total
  32.  
  33.  
  34.  
  35.  
  36.  
  37.