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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 CANADA or Send Fax to: 604-951-7797 Your Name: Company Name: Shipping Address: Country: Telephone: Email Address: Payment Form : Check (US or Canadian) Cash Visa MasterCard Money Order (from US or Canadian Bank) International Postal Money Order Bank Transfer (contact us) If payment by credit card. Card Number: Expiration Date: Card Holder Name: SELECT Program !! : (Windows 95, 98, NT) Formula1 Organizer Deluxe Golf Organizer Deluxe Olympic Organizer Deluxe Tennis Organizer Deluxe Price, Media !! : (CDROM contains Bonus Pack. Value of 74US$) 68 US$ , CDROM, Single-User 72 US$ , 3.5 disks, Single-User 65 US$ , code(e-mail) , Single-User Comments: Problems or Questions? - send a message to this address: support@primasoft.com Copyright © 1999-2000 PrimaSoft PC, Inc. All rights reserved.