Zephyr Services Order Form

Your Information is Protected by this Secure Form

Using Security Certificate and Encryption

IBM Compatible Software

Fill in the information requested below. Tab from one item to the next. When the information is complete and ready to send, then click on the Send Order button. The information will go to our order department to be processed. Use the Clear Form button to clear all information and start over.

`Name_____:`
`Company:`
`Address1_:`
`Address2_:`
`City_:`
`State:`
`Zip Code_:`
`Country____:`
`Telep Numb_:`
`E-mail Addr:`

Enter in the text box below the software program(s) you want. You may also add any comments.

Product Reference List. Scroll to see all programs available.

`Disk Type:`
`3.5" Floppy`
CD-ROM
`Credit Card Information:`
`Visa`
`MasterCard`
`American Express`
`Card Number:`
`Expir. Date:`

The software will be shipped to you by airmail. The shipping charge is $5.00 for all orders to the United States or Canada. The shipping charge is $8.00 to all other locations. Sales tax will be added to orders shipped to the state of New Mexico.

Zephyr Services Order Form

IBM Compatible Software

Disk Type: 3.5" Floppy CD-ROM Credit Card Information: Visa MasterCard American Express Card Number: Expir. Date:

The software will be shipped to you by airmail. The shipping charge is $5.00 for all orders to the United States or Canada. The shipping charge is $8.00 to all other locations. Sales tax will be added to orders shipped to the state of New Mexico.

Thank You for Your Order!

`Disk Type:`
`3.5" Floppy`
CD-ROM
`Credit Card Information:`
`Visa`
`MasterCard`
`American Express`
`Card Number:`
`Expir. Date:`