ORDER FORM FOR VGSCAP 1.2 Complete the order form below and mail it with your check (US $40), payable to Bernard Voedts, or with cash (only US $30) (Equivalent in any foreign currency is accepted) Send your order to: Bernard VOEDTS 4 rue Michelet 92130 Issy les Moulineaux FRANCE Supply is only on 3.5" diskette. Name: ___________________________________________________________________ Company (if applicable) ____________________________________________________ Address: ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Post Code / Zip Code _______________________________________________________ Country: _______________________________________________________________ Where did you obtain VGSCAP ? ____________________________________________________________________