			CQI ORDER FORM



Angus Hatton			From:		_________________________________
P.O. Box 92
Fremantle			Address:	_________________________________
W.A.
AUSTRALIA					_________________________________
6160
						_________________________________

				Date:		_________________________________

		E-Mail/Internet/CIS ID:		_________________________________

			Phone #:		(_______)________________________


Please forward _____ copy/copies of CQI Version 5.0 at a cost of  $50 (Australian) 

per copy for a total of			(AUS)$________

Plus Postage / packing / handling

In Australia 		$5
Outside Australia 	$10		(AUS)$________

Total Payment				(AUS)$________


Payment Method (Please Tick)

__ Cheque  __ Bank Cheque  __ Money Order


Please make cheques/bank cheques payable to Angus Hatton.

Cheques and bank cheques must be made out in Australian Dollars and drawn 
on an Australian Bank.

Upon receipt of this paid order, a copy of CQI Version 5.0 will be sent.
