
                       VRAMDIR ORDER FORM
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Product: VRAMDIR (for Windows 95)
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First Name:                   Last Name:
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Company:
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Street:
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Apt./P.O.Box:
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City:                    State:         Zip Code:
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Country:
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Email:
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               Unit Price          Quantity       Sub Total
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Email Copy          US$10     X            =
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US Floppy Copy      US$15     X            =
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Int'l Floppy Copy   US$20     X            =
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                   WA residents add 8.2% Tax
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                                       Total
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Please fill out this form and mail it with your check to:

Virtual Software Corporation
15016 S.E. 63rd Street
Bellevue, WA 98006
U.S.A.

Please make your check payable to "Virtual Software Corporation".

