FAMILYWARE ---------- Post Office Box 82747 ---------- ORDER FORM Tampa, Florida 33612-9998 ORDER FORM ---------- 1-800-827-KIDS ---------- 1-800-827-5437 Name: _______________________________ Disk Prices: _______________________________ $3.00 each for 1 - 10 $2.00 each for 11 or more Address: _______________________________ All disks are 5.25 inch City: _______________________________ unless specified. State: ____________ Zip: _____________ Please add $1.00 per disk for 3.5 inch. Phone: (______)_______________________ Disk Numbers ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ Disk format required: _____ 5.25" _____ 3.5" Number of disks requested _____ X price each $ _____ = $____________ Shipping and handling $4.00 ----------------- COD orders add $5.00 ____________ Please check here ______ if this is * Foreign orders add $10.00 ____________ your first order! ----------------- Florida residents add 6% ____________ TOTAL ____________ ------------ Payment method: _____ Cash _____ Check _____ Money Order _____ COD * We do not consider Canada a foreign country. -------------------------------------------------------------------- EDUCATIONAL INSTITUTIONS -- CALL FIRST FOR SPECIAL DISCOUNTS! --------------------------------------------------------------------