CD-ROM Order Form

Please fill in the form below, completely, and we will rush your CDs out to you!

If you don't have a browser that supports forms email us with your vital information or call the number below.
Include CD-ROM in the subject line.

Referal ID number...: Only needed if you were referred!
Your First Name......:
Your Last Name......:
Your Company........:
...................Address:
................................:
City: State: Zip: Canadian Province:
Your E-Mail Address: Valid Email only! Leave blank if you don't have one.
Your Phone Number..:
Your Fax Number.....:
American Express card#:
or, Visa Card Number:
Expiration Date.....:
What type of OS are you using?:
Windows 3.X Windows 95 DOS only OS/2 MAC OTHER (Specify in comments)

How much a month are you paying for internet access?
$0 $1-15 $16-30 $31-45 $46-60 $more

Where did you hear about this deal? (If Internet...where on the net)

Comments or questions:

*

After filling in all the information click on the SEND button, above, to send the info to us.
It could take about a minute to get the next page so please be patient...

If you would like to call in your order instead of through the internet, call 954-722-2707. Or, fax to 954-722-0023.
Or, mail a check for $14.95 (9.95 + $5 priority shipping & Handling) to:

Calvin Consultancy USA, Inc.
Box 550201
Ft Lauderdale, FL 33355

Email us with your info!

This page maintained by and Copyright © 1997 Emory Computer Consultants

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