ìRoger's Shareware  -  Order Form
-¡

Name: _∫

Company: _∑

Address: _∑

City: _î State: _â Zip: _ç

Country: _ñ Phone: (_Ñ) _Ñ-_ä

-¡
Program çQuantity   Price  Upgrade ÖAmount
RamDisk+ ç_Ü Ö$35 Ñ$10 á_Ü
DiskDup+ ç_Ü Ö$25 Ñ$10 á_Ü
RamDisk+ and DiskDup+ _Ö Ö$50 Ñ$15 á_Ü
 °Sub Total: Ü_à
 àShipping (Purchase orders only)   $5 á_Ü

 •Total: Ü_à
Payment:
-à
__Cash   __Check/Money order ( US $ only )

__Purchase Order    # _°

__Visa __MasterCard #_Ö _Ö _Ö _Ö Exp. Date___/___

Signature: _ß

-¡
Mail to: úPhone:
   Roger D. Bates ï(503) 591-9223
   P.O. Box 14
   Beaverton, OR 97075	 çElectronic Mail:
 ®AOL: RogerB2437

Thank You for your support!   Roger D. Bates