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Order Form

M A I L   T O        R.G. Marchessault
---------------->    902 Charlesgate Circle
                     East Amherst, NY 14051


VERSION BEING REGISTERED: ___________________

 
                                                     Price       Amount
+--------------------------------------------------+---------+------------+
| EMAIL REGISTRATION -- First time Registration    |#########|############|
+--------------------------------------------------+---------+------------+ 
|       The League Assistant for Windows           | $25.00  |            |
+--------------------------------------------------+---------+------------+
| EMAIL REGISTRATION -- Upgrade to new version     |#########|############|
+--------------+---------+------------+------------+---------+------------+ 
| Old Ver. No. |         | with Reg # |            | $15.00  |            |
+--------------+---------+------------+------------+---------+------------+
|      Postage & Handling (First Class Mail)   Add | $20.00  |            |
+--------------------------------------------------+---------+------------+
|      U.S. Priority Mail - 2 Day              Add | $30.00  |            |
+--------------------------------------------------+---------+------------+
|      U.S. Express Mail - Next Day            Add | $35.00  |            |
+--------------------------------------------------+---------+------------+
|      Outside U.S.                            Add | $       |            |
+-------------------------------------------- -----+---------+------------+
|   T O T A L   E N C L O S E D                              |            |
+------------------------------------------------------------+------------+
Mailing address:                                        

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Telephone No.:  _______________________

Email address:  ___________________________________________________________