(Please print clearly. It is very important for me to be able to clearly read your email address!)

Name:                                                                                             

Address:                                                                                        

City:                                State:               Zip:                                 

Country:                                                                                        


Email Address:                                                                            

Other Email Address:                                                                 

               Quantity          Price  (each)        Total

                              X     $10.00        =  $               

For all NON-USA orders:  Please make sure to only pay with US Currency or a Money Order written in US Dollars. Money orders or checks written in a foreign currency will not be accepted.

Questions/Comments?  Send email to:  inaka@tdl.com
Check us out on the Web: http://www.tdl.com/~inaka/inakasoft/
Please make checks payable to:  Mike McGee

Send Computer Cuisine Form & Payment to:

Mike McGee 
881 Rosemount Road
Oakland, CA, 94610-2408
USA                                                                             Click On The Box Above!

(When this form is completed & mailed, you will be emailed the registration password. If you do not have an email account, the password can be sent by Overseas/US Mail.)