EFOFEX ORDER FORM
               
TO:                            FROM:

Efofex Software                _________________________________
3 Ludwig Place
Duncraig WA Australia 6023     _________________________________

                               _________________________________
Fax  +61-9-4474878
Email phoop@perth.dialix.oz.au _________________________________

                               _________________________________


             ___ COPY/COPIES OF EFOFEX       @$50      $________

               SHIPPING FEE (INTERNATIONAL) - $10.00     ________

                                              TOTAL    $________
Disk Size:  ___ 3.5"    ___ 5.25"

Please send check/money order in Australian  funds to the above address.

NOTE: If you wish to license more than 3 copies CONTACT US for site licence details.  You will be amazed at the deals we can offer.
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                     CREDIT CARD ORDERS ONLY

You can order with MasterCard or Visa by FAX at +61-9-4486309 or by Email to phoop@dialix.oz.au. You can also mail credit card orders to Efofex Software at 3 Ludwig Place, Duncraig WA Australia 6023

If you intend to fax or mail your credit card order to Efofex Software, please complete the following information in addition to the information at the top of the order form:

     ITEM:  Efofex for Windows       TOTAL AMOUNT:  $___________

     CARD TYPE:  __ MasterCard   __ Visa 

     ACCOUNT NUMBER:  _________________________________

     ACCOUNT NAME:    _________________________________

     EXPIRE DATE:     _________________________________

     PHONE NUMBER:    _________________________________

     SIGNATURE:       _________________________________


