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Please Print Clearly
Name ______________________________________________________________________________ Date ________________200__ Address ____________________________________________________________________________ City ___________________________________________ Province/State ___________________________________ Country ________________________________________ Postal/Zip Code _____________ Telephone # area code (_____) ______________________ e-mail (if available)___________________________ @_________________________________ Retail Price: $20.00 (plus $2.00 for postage
and handling per CD-ROM). Total = $22.00 Quantity________ Total amount enclosed with this Order Form $_________ --------------------------------------------
Spirit Wrestlers
Publishing If there are any questions, please fax
(613-737-5778) or |