Order Form - EDI Install v1.2 Registration 
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   To place your order, call or fax Eschalon Development Inc.
   at (604) 520-1543 or leave an EMail message on Compuserve
   (76625,1320) or USENET (Robert_Salesas@MindLink.bc.ca). 

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NAME/CONTACT____________________________________________________

COMPANY_________________________________________________________

STREET__________________________________________________________

CITY_____________________________________    STATE______________

COUNTRY_________________________    ZIP_________________________

TELEPHONE ______________________    FAX  _______________________

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License number          $50.00 Cdn. ($43.00 US) x ___ = $_______ 
B.C. residents 6% PST     3.00 Cdn.             x ___ = $_______ 
Canada residents 7% GST   3.50 Cdn.             x ___ = $_______ 
3½" Disk, S. & H.         3.00 Cdn.   (2.00 US) x ___ = $_______ 
(disks are optional)
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                                                Total:  $_______ 
_____________________________________________
[Overseas orders that wish to receive a disk]
[please include an extra $3.00 US for S & H.]
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VISA #:* __________________________________    Exp. Date: ______ 
(*USD will be converted and
charged in Canadian dollars) 

Name On Card (exactly): ________________________________________ 



Signature: _____________________________________________________

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Or you may mail this form and a check or money-order payable to:

Eschalon Development Inc.
110-2 Renaissance Square 
New Westminster,  BC 
V3M 6K3   Canada 

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Please call for information on site licenses or
volume discounts: (604) 520-1543