
  SoftCircuits Order Form:



  Send with check or money order to:
  ---------------------------------
  SoftCircuits Programming
  P.O. Box 16262
  Irvine, CA 92713



  Product:	Description:			Price:	Qty:	Price x Qty:
  =============	===============================	=======	=======	============
  U201-100	Eagle Utilities w/source	$19.00
							-------	------------

						      Shipping:	  $3.00
								------------
			      CA residents add local sales tax:
								------------
				      Total (Send this amount):
								------------



  Disk type (check one):
  ---------------------
  5 1/4"	      3 1/2"
	 --------	     --------


  Send to:
  -------
  Name:
	-------------------------------------------------------------------
  Address:
	   ----------------------------------------------------------------
  City:					State:		Zip:
        ------------------------------	       -------	     --------------

