Make check payable to Harrisoft Inc.

Mail To:
Harrisoft Inc.
P.O. Box 132
Kittery ME 03904-0132

Please print clearly

Last Name:_____________________________________________________

First Name:_____________________________________________________

E-Mail Address:__________________________________________________

Phone:_________________________________________________________

Delivery Address (State, (Province), Postal Code):

________________________________________________________________

________________________________________________________________

________________________________________________________________

Price Each      Quantity        Total
$49.95                               

Shipping and Handling:
$5 US $10 outside the U.S.
                                Order Total