Remit Checks To: Please Edit this Invoice and then Print. Thank You. James Tolliver Your Name: ______________________ P.O. BOX 4071 Stamford CT 06907-0071 Company: ______________________ USA Date: ---------------------- Telephone 1 203 322 0298 (Questions and Problems, Online is Preferred) Payment Options. All orders shipped very quickly. 1. Cash. Use form below. International see details below. 2. Checks and Money Orders. International Please see details below 3. Compuserve GO SWREG #4123 $23 is added to your normal bill for Travel Valet 4. Credit Cards. Please read the information in the Mr Vegas order form. Address: _____________________________________________________ City: ____________________________________________________ State or Province: __________ Country: __________________ Zip or Postal Code: ___________ Telephone: __________________ Qty Unit Price Total ___ TRAVEL VALET Software License Fee $23.00 ___________ includes 3 1/2 disk __ Turbo Picture Poker $25.00 ___________ Best video poker game ever. Graphs, Statistics. Customize with your own sounds and picture files. Shipping $0 US and Canada $2 International ___________ includes 3 1/2 disk(s). (International users may use cash, US check or money order of Total ___________ equivalent funds) Comments ___________________________________________________ ____________________________________________________________ Form ppcs20 Your Online ID Internet, CIS, AOL ______________________________