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  1. YES!  I would like to order ____ 286|DOS-Extender SDK x $495 each = _______
  2.       Mass. customers add 5% sales tax:                             _______
  3.       Shipping:  $5 U.S. or Canada, $50 overseas:                   _______
  4.       TOTAL =                                                       _______
  5.  
  6. Shipping Address:  (Please provide a street address.  No P.O. boxes.)
  7.       Name:__________________________ Company:_____________________________
  8.       Address:_____________________________________________________________
  9.       City:__________________________ State/Country:__________ Zip:________
  10.       Phone:_________________________ Fax:_________________________________
  11.  
  12. Method of Payment: (Check one)
  13.       ____ Check/money order (US$, US bank)    
  14.       ____ P.O.#(Approval required):_______________________________________
  15.       ____ MasterCard     ____ Visa     ____ American Express
  16.       Credit Card #:__________________________________ Exp. Date:__________
  17.       Cardholder's name:___________________________________________________
  18.  
  19. Return to:  Phar Lap Software, Inc.           FREE PHAR LAP T-SHIRT 
  20.             60 Aberdeen Avenue                  WITH EVERY ORDER!   
  21.             Cambridge, MA  02138
  22.             Phone 617-661-1510
  23.             Fax 617-876-2972
  24.