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---------------------Folder Lock 4.

2 ORDER FORM------------------

Product Cost (one) Quantity Total Price

Folder Lock 4.2 $25 USD _______ ______________

Company (if any): _______________________________________________

Name: ___________________________________________________________

Address: ________________________________________________________

City: _____________________ State/Province: ____________________

Postal/ZIP Code: _________________ Country: ____________________

Phone: _________________________ Fax: __________________________

E-Mail #1: _____________________ E-Mail #2: ____________________

North Carolina Residents add 6.5% Sales Tax $ ________

Shipping and Handling (no quantity limit / see below) $ ________

CD and Diskette Shipping Options:


---------------------------------
2-3 Day Priority, USA Only ................ $ 5.00 US
Global Priority, NON-USA Only.............. $ 10.00 US
Airborne Overnight USA Only ............... $ 18.00 US

Total: $ _______

For credit card payment only:

Circle one: VISA/Master/Discover/American Express/Diners/JCB/Novus

Credit card number: _____________________________________________

Expiration date: ________________________________________________

Authorization signature: ________________________________________

--- PRINT THIS FORM AND SEE ADDRESSES IN THE ORDERING OPTIONS ---

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