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  1.  
  2.         ******** MX CD-ROM Database Order Form *********
  3.  
  4. Send to: MicroExcel                           Fax 1-408-636-6968
  5.          PO Box 2424                          E-mail CIS 73364,1021
  6.          Hollister, CA  95024                 info@microexcel.com
  7.                        http://www.microexcel.com/mxsoft/mxweb.htm
  8.  
  9. 10% for mailed, E-mail or faxed orders.
  10.  
  11. Your name:   ________________________________________________
  12.  
  13. Your address:________________________________________________
  14.  
  15.              ________________________________________________
  16.  
  17.              ________________________________________________
  18.  
  19. Your phone:  ________________________________________________
  20.  
  21. E-mail:      ________________________________________________
  22.  
  23.  
  24. If paid by credit card - MasterCard, VISA, Amer. Express  (circle one)
  25.  
  26. Card number: ________________________________________________
  27.  
  28. Expiration date: ____________________________________________
  29.  
  30. Signature:___________________________________________________
  31.  
  32.                       CD-ROM titles                   Price
  33.  
  34.      ______________________________________________  ________
  35.  
  36.      ______________________________________________  ________
  37.  
  38.      ______________________________________________  ________
  39.  
  40.      ______________________________________________  ________
  41.  
  42.                                             Subtotal:________
  43.  
  44.   - 0.10 x subtotal discount for mail and fax orders:________
  45.  
  46.       California resident sales tax, 0.08 x subtotal:________
  47.  
  48.        Shipping $4.00  (add $2.00 for Priority mail):________
  49.  
  50.                                                Total:________
  51.  
  52. Shipping all locations First Class or Priority.
  53. Shipping outside USA or Canada.  Cost + $4.00 already added.
  54. For orders outside USA or Canada use credit card only.
  55.  
  56.