WTCD ORDER FORM

Simply print out this form, fill it in and post it with your fee to:

CIP
PO Box 5282
Mermaid Waters QLD 4218
AUSTRALIA

PERSONAL DETAILS

TITLE:		DR / MR / MRS / MISS / MS     (circle one)
NAME:		___________________________________________________________
ADDRESS:		___________________________________________________________
POST CODE:		___________________________________________________________
TELEPHONE:		___________________________________________________________

ORDER DETAILS

Please specify the name you wish to have encoded into WTCD: (eg Fred Bloggs)
 
____________________________________________
 
 
CIP, please send me _____ copies of WTCD (Version 1.02) at AUD$25.00 each.
 
PAYMENT:     Cheque / Money Order / Cash     (circle one)
 
POSTAGE:     Please add AUD$5.00 per copy if outside Australia.  
 


I enclose the total of AUD$ ________________ for the following:


a) Copies of WTCD     (as stated above)		AUD$ ________
b) Postage     (if outside Australia)		AUD$ ________

      WTCD is supplied on 3.5" HD (1.44 Mb) disks or via the Internet only.
      All amounts are in Australian Dollars.
      Cheques/Money Orders should be made out to Cantus Information Products.
      Please do NOT send Cash through the mail.

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