------------------------------[ ORDER FORM ]---------------------------------
Pow Productions
Attn: Andrew Griffin               Contact us on the Internet:
128 Watson Avenue                  http://kublai.pacificrim.net/~solaris
Toorak Gardens                     conan@enterprise.net
5065 Adelaide, Australia
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                     Prices are AUSTRALIAN DOLLARS.
               This order form is for orders in Australia.

  Please check the appropriate [ ] boxes below and add up the totals.

[ ] Powball (3.5" High Density disks only).................(@ $16) __________

                             Australian Shipping & Handling (@ $4) 
                                      (International add $4 extra) __________

                                                    Total enclosed __________


        Name: _______________________________________________________________

   Address 1: _______________________________________________________________

   Address 2: _______________________________________________________________

   Address 3: _______________________________________________________________

     Country: ____________________  Phone: __________________________________

Please make your [ ] Cheque or [ ] Postal Order payable to Mr. Andrew Griffin