-------------------------------[ ORDER FORM ]--------------------------- 1.02
POW Productions
Attn: Anthony Hamilton
43 Holcombe Crescent
Ipswich, IP2 9QL
England
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           Prices are POUNDS STERLING, and are fully inclusive.
  This order form is for orders in the United Kingdom and UC Member States.

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

[ ] Powball (3.5" High Density disks only)..................(@ œ10) _________

      For shipping to non-EC countries, please add œ2 extra postage _________

                                                     Total enclosed _________


        Name: _______________________________________________________________

     Address: _______________________________________________________________

              _______________________________________________________________

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     Country: _______________________  Phone: _______________________________

Please make your [ ] Cheque or [ ] Postal Order payable to Anthony Hamilton