ORDER FORM

Please provide the following contact information:

            Name 
           Title 
    Organization 
  Street address 
 Address (cont.) 
            City 
  State/Province 
 Zip/Postal code 
         Country 
      Home Phone 
             FAX 
          E-mail 
             URL

Please provide the following ordering information:

QTY     DESCRIPTION

For Business accounts only:

             BILLING
Purchase order # 
    Account name

              SHIPPING
  Street address 
 Address (cont.) 
            City 
  State/Province 
 Zip/Postal code 
         Country

Please identify and describe yourself:

            Name 
   Date of birth 
             Sex Male Female
       ID number

Which service(s) are you interested in?
Accounting services
Desktop publishing
Gift baskets
Crafts

ORDER FORM

Copyright information goes here. Last revised: March 09, 1999

Copyright information goes here.
Last revised: March 09, 1999