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  1.  
  2.  
  3.         ______________________ ORDER FORM _______________________
  4.  
  5.  
  6.           Please Remit To:    Mr Serge Krupa
  7.                               19 A chemin des Bois
  8.                               1255 Geneva
  9.                               SWITZERLAND
  10.  
  11.  
  12.           Qty.   Description                       Each    Total
  13.  
  14.           ____   VEXE Upgrade to latest  version  $08.00   _____
  15.                  (You must return your  original
  16.                  diskette containing  your  copy
  17.                  of the  registered  version  of
  18.                  VEXE)
  19.  
  20.           ____   VEXE  Registration  with  5.25"  $15.00   _____
  21.                  diskette (Registration includes
  22.                  diskette with the latest share-
  23.                  ware  and  registered   program
  24.                  versions along with  manual  on
  25.                  diskette)
  26.  
  27.           ____   VEXE  Registration  with   3.5"  $18.00   _____
  28.                  diskette (same as above  except
  29.                  on new size media)
  30.  
  31.                                                   Subtotal _____
  32.  
  33.  
  34.           (Europe  orders add $3 shipping)        Shipping _____
  35.           (Foreign orders add $5 shipping)
  36.  
  37.  
  38.                                                   TOTAL   $_____
  39.  
  40.  
  41.            Name: _______________________________________________
  42.  
  43.         Company: _______________________________________________
  44.  
  45.         Address: _______________________________________________
  46.  
  47.                  _______________________________________________
  48.  
  49.                  _______________________________________________
  50.  
  51.  
  52.         Mail the above form along with a Banker's Draft payable
  53.         to:
  54.                    Mr Serge Krupa, CH-1255 Geneva
  55.  
  56.         at the:
  57.                    Swiss Bank Corporation
  58.                    Cornavin
  59.                    CH-1211 Geneva 1
  60.  
  61.         Check amount must be in Swiss Francs.
  62.  
  63.  
  64.  
  65.