CIFF  Version 1.00




Name/Company     _____________________________________________

Address          _____________________________________________
                 
                 _____________________________________________
                 
                 _____________________________________________

City, State, Zip _____________________________________________



Please check one:

3 1/4" diskette  ___

5 1/2" diskette  ___


No. of diskettes ____ x (39.95 for object, 99.95 for source) = ____________
                              


** Check or money order ONLY please                  **

        
        Payable to :    Joseph J. Tini, Jr.
                        102 Gilroy Street
                        Peckville, PA 18452