--------------- The Numbers Racket CREDIT CARD ORDER FORM ---------------

I would like to order _______ copies of The Numbers Racket CD-ROM,
by Chris Smolinski, Vendor SZ.

The price per CD-ROM is $25 US, including postage and handling.

Bill and ship to:

Name: _________________________________________________________________

Address: ______________________________________________________________

City: ___________________________________  State/Prov: ________________

ZIP/Postal Code: _________________ Country: ___________________________

Email address: ________________________________________________________

Credit card:   VISA / MASTERCARD / AMERICAN EXPRESS (circle one)

Name on Card: _________________________________________________________

Card Number:  _______-_______-_______-_______      Expires: ____ / ____

Signature: _______________________________________  Date: _____________


Mail To:

Kagi Shareware
1442-A Walnut Street #392-SZ
Berkeley, CA 94709-1405
USA

Fax to: 1-510-652-6589


You may call in your telephone order, however, there is an extra $5
charge for this service. The number is 1-510-658-5244.

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