Name (Please Print) ________________________________________________________ Address ____________________________________________________________________ City _________________________ State/Province __________ ZIP _______________ Country (if not USA) ____________________ Phone/Fax/Email __________________ P R O D U C T / L I C E N S E Q T Y P R I C E 旼컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컫컴컴컴컫컴컴컴컴컴커 � WinChess 2.30a � � 15.00 � 쳐컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컨컴컴컴컵컴컴컴컴컴캑 � Shipping & Handling � � 쳐컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컵컴컴컴컴컴캑 � T O T A L � � 읕컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컨컴컴컴컴컴켸 SHIPPING CHARGES: USA: $5 Other Countries: $10 Signature: ________________________________________ *** Thank you! *** Allow four to six weeks for delivery. Where did you get WinChess? [ ] Downloaded from: _______________________________________________________ [ ] Purchased from: ________________________________________________________ Other: [ ] A friend gave it to me [ ] None of the above [ ] Forgot Mail to: Phe Meas Internet: phe.meas@rocks.org 6 Carol Ave Boston, MA 02146