-------------------------------[ ORDER FORM ]--------------------------- 1.02
POW Productions
Attn: Steve Wolfe
1965 West 4055 South
West Valley City, UT 84119
U.S.A.
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           This order form is for orders in the USA and Canada.
                     Prices are in AMERICAN DOLLARS.

     Please check the appropriate [ ] boxes below and add up the totals.

[ ] Powball (3.5" High Density disks only)..................(@ $12) _________

                              USA/Canada Shipping & Handling (@ $3)
                                       (International add $2 extra) _________

                                  Utah residents must add 6.25% tax _________

                                                     Total enclosed _________


        Name: _______________________________________________________________

     Address: _______________________________________________________________

City, ST Zip: _______________________________________________________________

     Country: ______________________  Phone: ________________________________

Please make your [ ] Check or [ ] Money Order payable to Mr. Steve Wolfe