--------------[ POW Productions Order Form ]-------- Powball 1.03
POW Productions
43 Holcombe Crescent
Ipswich
IP2 9QL
England
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Please check the appropriate boxes below and add up the totals.

PLEASE NOTE: Prices are POUNDS STERLING. This order form is for
orders in the United Kingdom and UC Member States.

Please make Cheque or Postal Orders payable to MR A HAMILTON.

[ ] Powball (3.5" High Density disks only)........(@ 10) _______

   For shipping to non-EC countries, add 2 extra postage _______

                                           Total enclosed _______


        Name: ___________________________________________________

     Address: ___________________________________________________

              ___________________________________________________

              ___________________________________________________

     Country: _______________________  Phone: ___________________


Thankyou!
