SUREFIRE YES! PLEASE SEND ME SUREFIRE! Order Form Name:____________________________________ Mail Orders: Company:____________________________________ Piaf, Inc. 3918 Orchard Court Address:____________________________________ Boulder, CO 80304-1023 ____________________________________ Phone Orders: 303 786-8222 (24 hours) City:____________________________________ State/Country:____________________________________ Zip/Postal Code:____________________________________ Order Date:____________ Phone:____________________________________ Item Quantity Price Total Full Surefire Package - ______ $79 $_______________ Includes: 475 page bound User's Guide, 6 Months Phone Support, Registered Disks (with Examples, Spell Checker, memory up to 8Mb) Registered Disks Only - ______ $39 $_______________ Registered Disks (with Examples, Spell Checker, memory up to 8Mb, Tech support by mail or e-mail) Full Surefire Package with Contacts - ______ $99 $_______________ Includes Full Surefire Package PLUS a Full Contact Manager with separate 100 page User's Guide, Quick Reference card. ($169 Retail) Shipping and Handling (per unit) - $_______________ Full Package Disks Only $ 6 $ 4 U.S. $ 8 $ 6 Canada $ 25 $ 12 Overseas Colorado Sales Tax: (Add 3%) $_______________ Total Amount (US Dollars): $_______________ Disk Size: ____5-1/4" ____3-1/2" Payment must be via VISA/MC No: ___________________________________ Check, Money order, VISA or MasterCard. Expires: ___________________________________ Signature: ___________________________________ THANK YOU FOR YOUR ORDER! I learned about Surefire from: ___________________________________ (Please write your comments and suggestions on reverse!)