****************************************************************************
*                                                                          *
*  VB SERVANTS 3.0 (FOR MICROSOFT VISUAL BASIC 3.0) U.S. ORDER FORM        *
*                                                                          *
****************************************************************************

********************** CUSTOMER DETAILS ************************************
NAME:
STREET ADDRESS:
SUBURB:
ZIP:
STATE:
COUNTRY:
PHONE:
FAX:
EMAIL:
COMPUSERVE:

************************ ORDER DETAILS *************************************
SINGLE USER LICENSE (US$20): YES/NO
SITE LICENSE (US$60): YES/NO 
CREDIT CARD TYPE:
CREDIT CARD NUMBER:
CREDIT CARD EXPIRY DATE:
NAME ON CREDIT CARD:
CREDIT CARD BILLING ADDRESS:


******* SEND YOUR U.S. ORDER TO PsL (ORDERS ONLY - NOT SUPPORT) ************  
PsL
P.O.BOX 35705
HOUSTON, TX 77235-5705
U.S.A.
Phone: 800-2424-PsL OR 713-524-6394
Fax: 713-524-6398
Compuserve: 71355,470
Email: 71355.470@compuserve.com

*** For support, contact Learning Freedom, 10 Birdwood Ave, Springwood 2777
Australia. Phone: +61-47-54-3266; Fax: +61-47-51-5946; 
Email: ianbarns@zeta.org.ua

