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                                           Quantity      Price

    FILEMAN license, and diskette (prepaid) _____   x    $25   =  ______
        
   
    FILEMAN license, and diskette 
        (Purchase orders)                   _____   x    $35   =  ______

    Wash. state residents add 8.1% sales tax                      ______
      (8.1% of 25 = $2.03 )
    
    Total                                                       $ ______

    Diskette format:   ___  5.25"        ___ 3.5"

    Payment by:         __Check      __ P.O.

    Purchase Order #:____________________________________________

    Signature:_________________________________

    Name:    ____________________________________________________

    Address: ____________________________________________________

    City:    ______________________ State: ___ Zip: _____________

    Phone #: ____________________________________________________

    Comments:____________________________________________________

    _____________________________________________________________

    _____________________________________________________________


    Mail to:
       TDWare                               Phone #  (206) 833-7203
       37605 160th Place SE		    (6 PM-9 PM) PST
       Auburn, WA 98002, U.S.A.
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