------------------------------[ ORDER FORM ]---------------------------------
Pow Productions
Attn: Anthony Hamilton             Contact us on the Internet:
43 Holcombe Crescent               http://kublai.pacificrim.net/~solaris
Ipswich, IP2 9QL                   conan@enterprise.net
England
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          Prices are POUNDS STERLING, and are fully inclusive.
          This order form is for orders in the United Kingdom.

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

[ ] Powball (3.5" High Density disks only).................(@ œ10) __________

     For shipping to non-EC countries, please add œ2 extra postage __________

                                                    Total enclosed __________


        Name: _______________________________________________________________

   Address 1: _______________________________________________________________

   Address 2: _______________________________________________________________

   Address 3: _______________________________________________________________

     Country: ____________________  Phone: __________________________________

Please make your [ ] Cheque or [ ] Postal Order payable to Anthony Hamilton