WinCharging Order Form ----------------------------------------------------------------- Qty ___ WinCharging Deluxe Edition @ $24.95 each $________ NJ residents please add 6% ($1.50) sales tax $________ Shipping and handling - inside the United States $__4.00__ Total $________ Disk size (check one): [ ] 3.5 HD (default) [ ] 5.25 HD Indicate payment type: [ ] Personal check [ ] Money order (Checks and MO's must be drawn on U.S. banks in U.S. funds.) Please make payable to My Little Realm Enterprises and mail to: My Little Realm Enterprises 22 Church Street #103, Suite 376 Ramsey, New Jersey 07446 ----------------------------------------------------------------- User Information Name_______________________________________________________ Company_______________________________________________________ Address_______________________________________________________ City_______________________________________________________ State______________________________________ Zip_____________ Home_(_____)_________________ Bus._(_____)_________________ ----------------------------------------------------------------- Credit Card Orders To place a credit card order, please call Public (software) Library toll free at (800) 242-4775. Ask for product number 11734. P(s)L accepts Visa, MasterCard, American Express, and Discover Card. Note: PsL handles ONLY credit card orders. If you have any questions about your order or about WinCharging in general, please call My Little Realm Enterprises at (201) 529-8318. _____________________________________________________R010196SWV13