To:  PsL, Inc.
Online order http://www.arclab.com/products/1stnote/order
EMail order: 30398@pslweb.com
Fax: (USA) 713-524-6398 

Credit card fax order for Item #30398
Packager MK1 by arclab software GdbR

We accept MC, Visa, Amex, Discover

______ 1 computer	@ $20 	
______ 2-15 computer    @ $15

Shipping and Handling: 
(  ) No shipping - email it. (no disk will be sent)
(  ) send via mail $5

(Please do not use any umlauts or characters with accents or 
diacritical marks.)

First/Middle Name:__________________________________________

Last Name: _________________________________________________

Company name: ______________________________________________
  
Address:____________________________________________________

City: ______________________________________________________

State/Province: _______________________ (U.S. & Canada only)

Zip, Country: ______________________________________________

Phone # ____________________________________________ (voice)

Your email address: ________________________________________

BANK name and phone number:_________________________________

Credit card number: ________________________________________

Expiration: ________________________________________________



Date: ____________  Signature:______________________________

PsL is a credit card order service, not the publisher!
Author: arclab GdbR office@arclab.com, FAX: +49941990065