			   CHESS LADDER v1.5
			      Order Form
============================================================================

	Name:_________________________________________________

	Address:______________________________________________

	City:_________________________________________________

	State:________________________Zip Code:_______________

	Country:______________________________________________

	Voice Phone Number: (      ) _________________________

	EMAIL Address:________________________________________

	How Many?	Disk Size		Price 	 Total
		      3-1/2   5-1/4	      $  29.95 $
				Shipping & Handling       2.00
				PA Sales Tax(6%)
	______________________________________________________
				Total			$

	Orders outside of North America must add $15.00


	*All disks will be High Density 1.44K or 1.2K
	*All funds must be in US DOLLARS.

	Make Checks payable to:

		North Penn Chess Club
		c/o 2295 Hendricks Road
		Pennsburg, PA 18076-2529




	Please All 3-4 weeks delivery in the USA.