--------------[ POW Productions Order Form ]-------- Powball 1.03
POW Productions
Attn: Andrew Griffin
128 Watson Avenue
Toorak Gardens
5065 Adelaide, Australia
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Please check the appropriate boxes below and add up the totals.

PLEASE NOTE: Prices are AUSTRALIAN DOLLARS. This order form is
for orders in Australia.

Please make Cheque or Postal Orders payable to ANDREW GRIFFIN.

[ ] Powball (3.5" High Density disks only)........(@ $16) _______

                    Australian Shipping & Handling (@ $4)
                             (International add $4 extra) _______

                                           Total enclosed _______


        Name: ___________________________________________________

     Address: ___________________________________________________

              ___________________________________________________

              ___________________________________________________

     Country: _______________________  Phone: ___________________


Thankyou!
