O R D E R F O R M see Readme.txt for ordering SOLD TO: information _____________________________ _____________________________ DATE: ________________________ _____________________________ PAYMENT: _____________________________ _ | | Check or Money Order = | | Visa SHIP TO: = | | MasterCard _____________________________ - name _________________________ _____________________________ # _________________________ _____________________________ exp _________________________ _____________________________ sign _________________________ Item Quantity Unit Total ===================================================================== | | | --------------------------------------------+---------+------+------- | | | --------------------------------------------+---------+------+------- | | | --------------------------------------------+---------+------+------- | | | --------------------------------------------+---------+------+------- | | | --------------------------------------------+---------+------+------- PAC subscription (1yr:$5)(2yrs:$8) | | | ===================================================================== subtotal | +------- SEND ORDERS TO CALL TOLL FREE NV sales tax | JV Enterprises OR credit card orders +------- Po Box 97455 shipping | Las Vegas NV 89193 1-800-252-0194 +------- Total | =========