Contact 96 order form: Name: ________________________________________ Address: ________________________________________ City: ________________________________________ State: _____ Postal Code: ____________________ Country: ________________________________________ Phone: ________________________________________ Payment: _____ Check _____ Money order Amount enclosed: USA Canada Europe --- ------ ------ Contact/Account/Envoy $25(US) $30(CAN) $25(US) GST (Canada resident only): x ________ x TVQ (Quebec resident only): x ________ x Shipping: $3(US) $3(CAN) $5(US) Total Enclosed: $28(US) ________(CAN) $30(US) * Make checks payable to: SCHAUZMOLL Soft. * Allow 4 weeks for USA check clearance, 6 weeks for Europe. * Allow up to 4 weeks for delivery.