 Product # 11734           WinCharging            FAX Order Form
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 Qty
 ___ WinCharging Deluxe Edition         @ $24.95 each  $________
                 NJ residents please add 6% sales tax  $________
     Shipping and handling  charges  --
                - in United States  $___4.00_
                - in Canada         $___6.00_
                - elsewhere         $___8.00_
                                Shipping and handling  $________
                                                Total  $________
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 Disk size (check one):  [ ] 3.5 HD (default)       [ ] 5.25 HD
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          FAX CREDIT CARD ORDERS TO PsL at 713.524.6398

 Public (software) Library (PsL) handles all credit card orders 
 for My Little Realm Enterprises.  PsL accepts MasterCard, Visa, 
 American Express, or Discover Card.

  Credit Card    ___ Amex    ___ Disc    ___ MC    ___ Visa   
  
  Credit Card Number____________________________________________

  Exp. Date___________ Signature________________________________

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 To call in a credit card order, dial 800.242.4775 inside the USA
 or 713.524.6394 outside the USA.  Ask for product # 11734.
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      Name_______________________________________________________

   Company_______________________________________________________

   Address_______________________________________________________

      City_______________________________________________________

     State______________________________________ Zip_____________
     
 Phones:  Home________________________ Bus.______________________

   EMail Address_________________________________________________

_____________________________________________________R032697SWV23
