                      KID GENIUS CD-ROM ORDER FORM


    Full Name:_________________________________________________________

  Street & No:_________________________________________________________

         City:_________________________________________________________

        State:_________________________________________________________

      Country:_________________________________________________________

Credit Card Type:_______________________(Amex - Visa - Mastercard only)

    Name on card:___________________________________

 Credit Card No.:___________________________________

     Expiry Date:___________________________________

       Signature:___________________________________

   Email address:___________________________________

	             PRICE
  [ ] Kid Genius CD price @ $14 US each. = $_________
      Shipping & Handling @ $ 6 US       = $_________
                        	   Total = $_________


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   Fax: 61 2 99755248             Email: kidgen@tig.com.au

  Mail: KID GENIUS PTY.LTD        Web: http://kidgen.cjb.net
	PO BOX 1514
	WARRIEWOOD SQUARE
	NSW 2102 AUSTRALIA
_______________________________________________________________________

		 BANK CHEQUES and POSTAL MONEY ORDER.
		 in AUSTRALIAN dollars only.
                 made to:KID GENIUS PTY.LTD.
           (we DO NOT accept personal or company cheques)
		 Mail Cheque to above address.
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