AutoGEM order form:



      Name: ________________________________________

   Address: ________________________________________

      City: ________________________________________

     State: _____  Postal Code: ____________________

   Country: ________________________________________

     Phone: ________________________________________



   GFA Basic version used: __________




   Payment:
                _____ Check

                _____ Money order




   Amount enclosed:
                                   USA            Canada           Europe
                                   ---            ------           ------
    AutoGEM developement kit:      $50(US)       $65(CAN)          $50(US)

    GST (Canada resident only):     x            ________            x

    TVQ (Quebec resident only):     x            ________            x

    Shipping:                      $10(US)       $10(CAN)          $17(US)


    Total Enclosed:                $60(US)       ________(CAN)     $67(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.