----------------------------------------------------------------------------- | FAX this order form to: (206)-525-1331, or mail to: | | CalcTech, Inc. | | P.O. Box 15277 | | Seattle, WA. 98115-0277 | ----------------------------------------------------------------------------- BizWiz(tm) Version 1.10 Order Form ----------------------------------------------------------------------------- | | | | | | Qty | Description | Price | Total | ============================================================================= | | BizWiz(tm) Financial Calculator. Single user | | | | | license. (includes "The HP-12C Pocket Guide") | $36.00 | | ----------------------------------------------------------------------------- | | "An Easy Course in Programming the HP-12C" by | | | | | Grapevine Publications. (ISBN 0-931011-08-6) | $22.00 | | ----------------------------------------------------------------------------- | | | | SHIPPING/HANDLING | $4.00 | ----------------------------------------------------------------------------- | Washington state residents add 8.2% sales tax | | ----------------------------------------------------------------------------- | International AIR MAIL orders please add $5.00 | | ----------------------------------------------------------------------------- | | TOTAL | | |--------| Disk preference: [ ] 5.25" [ ] 3.5" Name: _________________________________________________________________ Company (if applicable):_______________________________________________ Phone: (Day) _______________________ (Evening) ________________________ Address: ______________________________________________________________ City: ______________________________ State: ________ Zip: ____________ (check one): [ ] VISA [ ] Mastercard [ ] Check Enclosed Credit card #: _____________________________________ Expires: ____/____ Cardholder's Name (Please print): _____________________________________ Cardholder's Signature: _______________________________________________