
                         CD-QUICK version 1.02

                              ORDER FORM


Please send your check or money order to:

                            Peter Volpa
                            Circuit Systems
                            418 Church Road
                            Sicklerville, NJ 08081-1727  USA

We offer special prices/discounts on quantity orders and multiple-user/site
licences.  Write for more information.

Please send me the latest registered version of CD-QUICK Cache and my personal
KeyCode.  This also includes the utilities QUICKMON and CDTEST.


____ CD-QUICK, Individual Lifetime Registration ................  $ _______
      ($29, will immediately receive official registered version
       with full documentation on disk)


     New Jersey residents, please add 6% sales tax .............  $ _______


     Overseas Shipping and Handling ............................  $ _______
        (For orders outside the U.S. only, $3)

                                                          Total   $ _______



Payment by:  ( ) Check   ( ) Money Order             Date _________________


All orders will be sent on 3.5 inch disks unless this box is checked:

        ( ) I need 5.25 inch disk format


Payment must be in U.S. funds drawn on a U.S. bank or in the form of an
international money order payable in U.S. funds.  Specifications and pricing
are subject to change without notice.


 Name :     _______________________________________________________________

(Company:)  _______________________________________________________________

Address :   _______________________________________________________________

        :   _______________________________________________________________

        :   _______________________________________________________________

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