Name __________________________________________________________________ Company/Organization __________________________________________________ Shipping Address ______________________________________________________ City __________________________________________________________________ State/Prov. __________ Postal Code ____________ Country _______________ Phone (_____) _________________ E-Mail ________________________________ Item Description Mac/PC Price Quantity Total ____________________________________ _____ _____ X _____ ________ ____________________________________ _____ _____ X _____ ________ ____________________________________ _____ _____ X _____ ________ SHIPPING:Email Shipping- FREE ................................. $00 ________ Shipped on a floppy disk:First product: US and Canada........................$ 7.50 ________ Express............................$15.00 ________ International......................$15.00 ________ Express............................$25.00 ________ Each additional product: All destinations-add $2 ___ X $2.00 ________ Total ________ Payment Type: Visa | Master Card | AMEX | Discover | Diners | School PO(Checks accepted if drawn on U.S banks in U.S. currency, payable to Signature Software.) Credit Card # ___________________________ Exp ____ PO# ____________ Signature ____________________________________________ Name and billing address of Credit Card if different from above: ______________________________________________________________________
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