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Order Form

Please, take your time and fill in as much information as possible so that we can serve you better. To print the form use print command in your browser. Please send your payment with the registration form to the following address:

PrimaSoft PC, Inc.
P.O. Box 456
Surrey, BC V3T 5B7

Send Fax to: 604-951-7797
Your Name:

Company Name:

Shipping Address:



Email Address:

Payment Form :

If payment by credit card.
Card Number:

Expiration Date:

Card Holder Name:

SELECT Program !! : (Windows 95, 98, NT)

Price, Media !! : (CDROM contains Bonus Pack. Value of 74US$)


Problems or Questions? - send a message to this address:

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