New York Residents MUST Add Sales Tax            
                                                 
Shipping and Handling:
                US(48)   US(AL HI PR)    CANADA     ELSEWHERE 
        USPS:    3.00     3.00            5.00       9.00
UPS (ground):    3.00     6.00
   UPS(Blue):    6.00     8.00
    UPS(Red):   15.00    19.75
                                           
Prices Good Through December 1991.
                                           
I would like to pay by:
__Check __Master Card __Visa    Card Number___________________________________
                                Expiration Date_______________________________

-------------PAYMENT MUST BE IN U.S. FUNDS DRAWN ON A U.S. BANK.--------------

                         CONSOLIDATED WIDGETS, INC.   
                   1000 Widget Industrial Park  Building 10
                           Widgetville, NY 14882