                Irie Pascal Version 1.10 (US$ Order Form)

To register Irie Pascal using US dollars fill in this form and
mail it along with a check/money order (made out to "Stuart King")
to the address below. Please remember to include Shipping and Handling.
Use "orderuk.txt" for registering Irie Pascal with UK pounds.
Use "orderca.txt" for registering Irie Pascal with Canadian dollars.

If this order is for an upgrade fill in "# COPIES" but leave "AMOUNT"
blank (include only the Shipping and Handling Fee).

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PROGRAM:                  Unit Price   # COPIES            AMOUNT

Irie Pascal for Windows   US$25   X    _________         $________

Irie Pascal for DOS       US$25   X    _________         $________

Irie Pascal for Linux     US$25   X    _________         $________

Irie Pascal for FreeBSD   US$25   X    _________         $________

Irie Pascal for OS/2      US$25   X    _________         $________

Irie Pascal for Solaris   US$25   X    _________         $________
(x86 version)

Irie Pascal Professional  US$40   X    _________         $________
(includes Windows, DOS,
Linux, FreeBSD, OS/2,
and Solaris/x86)

Shipping and Handling     US$5                           $________

TOTAL         . . . . . . . . . . . . . . . . . . . .    $________

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MAILING ADDRESS:      (PLEASE PRINT CLEARLY)

Name:_____________________________________________________________

Address:__________________________________________________________

City/State/Province:______________________________________________

Country/Postal Code:______________________________________________

Telephone:_____________________________________________ [optional]

Email Address:_________________________________________ [optional]


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Send completed form along with check/money order to:

   Stuart King
   MB #247
   221 S. State Road 7
   Ft. Lauderdale, Fl 33317
   U.S.A.

Please do NOT send cash. Allow two to four weeks for delivery.
If you fill in your email address you will receive notification by email
when your order is shipped.

Thank you.
