WinCharging Order Form ----------------------------------------------------------------- Qty ___ WinCharging Standard Edition @ $19.95 each $________ ___ WinCharging Deluxe Edition @ $24.95 each $________ Subtotal $________ New Jersey residents please add 6% sales tax $________ Shipping and handling - inside the United States $__3.00__ Total $________ ----------------------------------------------------------------- Send ALL credit card orders to Public (software) Library. [ ] Visa [ ] MasterCard [ ] American Express [ ] Discover Card Credit Card #_______________________________ Exp Date _______ Signature ___________________________________________________ Contact Public (software) Library by: Phone: 1 (800) 242-4775 Fax: (713) 524-6398 CompuServe: 71355,470 Mail: PsL, P.O. Box 35705, Houston, TX 77235-5705 Warning: PsL handles ONLY credit card orders. ALL other queries must be directed to MLR Enterprises at 1 (201) 529-8318. ----------------------------------------------------------------- If you are paying by check or money order, make it payable to My Little Realm Enterprises and mail to: 22 Church Street #103, Suite 376 Ramsey, New Jersey 07446 Indicate payment: [ ] Personal check [ ] Money order Checks and money orders must be drawn on U.S. banks in U.S. funds ----------------------------------------------------------------- Disk (check only one): [ ] 3.5 HD (default) [ ] 5.25 HD ----------------------------------------------------------------- Name_______________________________________________________ Company_______________________________________________________ Address_______________________________________________________ City,State______________________________________ Zip_____________ Home_(_____)_________________ Bus._(_____)_________________ ___________________________________________________R030195SWV100A