
COMPACK Version 4.5 Program COMPACTer running on Intel 80286 CPU under DOS 5.0
  Serial No:  345    COMPACK ORDER / CONTRIBUTION FORM

TO:                           FROM:
W. J. Collis                  Name: __________________________________
Strada Sottopiazzo, 18
14056 Boglietto (AT)     (Company): __________________________________
ITALY
                           Address: __________________________________

Nov 06 08:40:16 1998    City,State: __________________________________
                                                              Zip Code
FAX +39 (11) 9574117  Phone Number: _________________________

Please receive contribution of $25 (or any amount) for use of COMPACK.
                   (Delete as applicable)
Please supply ___ copy(s) of COMPACK for personal / internal use only.
I enclose payment at U.S. $40 per copy.  (Other users write for quote)
Invoice is / is not required.     Signature __________________________

Diskette format (correct if necessary) 5.25" ___
Terms:  Check drawn on a U.S.A. or U.K. bank, or Eurocheque.
Most european currencies accepted.  Make checks payable to W. J. Collis.
      ** NOW JUST PRESS THE PrtSc KEY TO PRINT THE SCREEN **