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 Wood Hatch Patters Order Form Send to: Neil Angelette  PO Box 763  Larose, LA 70373 Name__________________ ________________________ _ Date____________ Company_______________ ________________________ _ Phone___________  Street________________ ________________________ _ FAX_____________ City__________________ Country_________ ZIP/Postal code_________ Email_________________ ________________________ __________________  ALL AMOUNTS ARE UNITED STATES DOLLARS SINGLE USER LICENSE: We ship one 3.5" regis tered disk = $ 6.50 SITE LICENSE: Must supply a proper business name.  3 or more computers @ $ 3.00 each X ____units = _______  Site license disks @ $ 6.50 each X ____units = _______  Subtotal _______  Disk shipping (U.S. and Canada) no charge _______  Disk shipping (Other Areas) $ 10.00 _______  Louisiana residents add state tax: _______  Total (US funds only) _______ Method of payment: Check__ Money order__ 

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Wood Hatch Patters Order FormSend to: Neil Angelette PO Box 763 Larose, LA 70373Name___________________________________________ Date____________Company________________________________________ Phone___________ Street_________________________________________ FAX_____________City__________________ Country_________ ZIP/Postal code_________Email___________________________________________________________ ALL AMOUNTS ARE UNITED STATES DOLLARSSINGLE USER LICENSE: We ship one 3.5" registered disk = $ 6.50SITE LICENSE: Must supply a proper business name. 3 or more computers @ $ 3.00 each X ____units = _______ Site license disks @ $ 6.50 each X ____units = _______ Subtotal _______ Disk shipping (U.S. and Canada) no charge _______ Disk shipping (Other Areas) $ 10.00 _______ Louisiana residents add state tax: _______ Total (US funds only) _______Method of payment: Check__ Money order__


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