Pocket Technologies LTD Order Form To print
this order form,
click on Print Topic in the pull down menu.
Please be sure to print clearly! Prices guaranteed through February, 1999.
To Pocket Technologies
19 HaArava St.
Ginot Shomron 44853
Israel
Fax: +972-9-7941208
Order form
| [ ] PocketBase | $39.00 |
| [ ] SuperBase | $39.00 |
| [ ] Package deal (PocketBase and SuperBase) | $58.00 |
| [ ] SuperBase and PocketBase Hebrew | $288.00 |
| [ ] SuperWorks(DOS) | $88.00 |
| [ ] SuperWorksPT(DOS) | $88.00 |
Total Payment: |
$ |
Name: _________________________________Date:__________________
Organization:__________________________________________________
Address:______________________________________________________
City, State, Zip:_________________________________________________
Country:______________________Phone:___________________________
Fax:_________________________Email:____________________________
[ ] Payment by Credit card:
[ ] Visa
[ ] MasterCard
[ ] American Express
[ ] Diner's Club
Credit card number: _________________ Expiration date_______
[ ] Check Enclosed
Signature: ___________________