
             SUPER-MEMO WORLD'S ORDER FORM (June 17, 1993)

Please put my name to the record of SuperMemo World's registered
users and send me the following SuperMemo World's products:

        ITEM                                                          PRICE

  SuperMemo 5 Shareware                                             $0
  SuperMemo 6 Professional ($60)   				    $.......
  SuperMemo 6 + Advanced English ($90)                              $.......
  SuperMemo 7 + Advanced English ($100)                             $.......
  .................................                                 $.......
  .................................                                 $.......
  .................................                                 $.......
  .................................                                 $.......
  .................................                                 $.......
  + postage and packaging                                           $.......
  ---------------------------------------------------------------------------
  TOTAL:                                                          $..........

  The postage and packaging are:
      $3  Poland
      $6  Europe
      $11 the rest of the world

  I wish the software to be sent on (check one only):
    5.25 in 1.2 MB ....
    3.5  in 1.4 MB ....

My certified check, acceptable by Polish banks is enclosed.

My name and address is (type or write in block letters):
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My SuperMemo World's questionnaire is enclosed:  Yes .... No ....

I am aware that SuperMemo World reserves the right to suspend or
modify the realization of any order that is illegible or ambiguous.
Overpayment will be returned as soon as it adds up to $10.


                                        .................................
                                            Signature and date

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Send this form to:

       SUPER-MEMO WORLD
       P.O. Box 1
       Poznan 48
       POLAND
       Tel/Fax (48) 61 203157
