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Fax or Mail Order FormTo place an order, just complete the following information and fax or mail to:Ginkgoware, a division of CMH Software, Inc. 254 Taylor Rd Libby, MT 59923 US FAX: (406) 293-5075
Shipping Address:
Company Name _____________________________________________
Name _____________________________________________________
Mailing Address _________________________________________
City, State ______________________________________________
Zip/Postal Code, Country _________________________________
Day Telephone Number (important!) ______________________
Email Address _____________________________________
(important!)
Order Information:
Unit Total
Quantity Software Price Price
____________________________________________________________
____________________________________________________________
____________________________________________________________
Subtotal _________________
US Mail $6, US UPS $10,
Canada $10, International $25 Shipping ______________
TOTAL______________
Payment Information:
__Visa __MasterCard
__Discover __Check enclosed
______________________________________________ __________
Credit Card Number (13-16 digits) Exp. Date
_____________________________________________
Signature
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