ORDER FORM

SEND TO
Quicksoft
219 First N. #224
Seattle, WA 98109
206/282-0452

Quan Item    Price  Total
[ ]  Diskettes $16:_____________________
[ ]  Manual HB $45:_____________________
[ ]  Support   $35:_____________________
All of the above --
[ ]  Register  $89:_____________________
Overseas Ship +$20:_____________________
Company P.O.  +$ 5:_____________________
WA orders add 7.9%:_____________________
TOTAL (US dollars):_____________________
Call for quantity 2 up.

Old registration #=017050

[]Check []P.O. []Visa/MC
Visa/MC #:______________________________
Exp. Date:______________________________
Signature:______________________________

SHIP ORDER TO
Name:___________________________________
Company:________________________________
Address:________________________________
City,St,Zip:____________________________
Day phone:______________________________

PC-WRITE USER MAIL TO
Name:___________________________________
Company:________________________________
Address:________________________________
City,St,Zip:____________________________
[] Send Quicksoft mail only

Thank you!


