VECTOR SPACE                                     (252) 291-8716
P.O. Box 8152                                    email - vspace@simflex.com
Wilson, NC 27893-8152                            www.simflex.com/users/vspace


                                PC-BLOX v3.0
                                 ORDER FORM

The registered version of PC-BLOX is just $19.95.

  To order by phone with your credit card call toll free (888) 282-5887

  To order on-line with your credit card
  point your web browser to www.qwerks.com
  on-line buyers can download the registered copy right away!

  To order by fax with your credit card complete this form
  and fax to (801) 530-7161

  To order by check or money order complete this form and mail
  with $19.95 (US dollars) payment to:

    VECTOR SPACE
    P.O. Box 8152
    Wilson NC 27893-8152 USA


Name  __________________________________________________

Address ________________________________________________

City ________________________  State/Province _______________________________

ZIP/Postal Code_________________________  Country ___________________________

Phone _________________________________

E-mail ________________________________

Where did you get this shareware program? __________________________________

Your comments or suggestions are very welcome: _____________________________

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Credit card information  *** FAX ORDERS ONLY ***

Check one:  VISA ___     MC ___   AMEX ___

Credit Card Number: ________________________________________________

Expiration Date: ____________________________

