                                ***  Top Ten ORDER FORM  ***

   TO:    Planned Estates Corporation Pty Ltd
          6 Maldon Crescent
          EAST DONCASTER  VIC  3109
          AUSTRALIA
          Phone: IDD + 61 + 3 + 9842 4980
	  E-mail: drummond@melbpc.org.au
                  pec@digitalchainsaw.com  

	
   FROM:  Name:______________________________________________________________

          Address:___________________________________________________________

          State:__________    Postcode:_________    Country:_________________
              
          Contact Name:___________________________________________

          Phone: (____)__________________       Fax: (____)__________________

	  E-mail:________________________ @ _________________________________

   Quantity        Description                                         Amount
   --------------------------------------------------------------------------
 
   ________  Copy(s)of  Top Ten @ AU$89.00 ea.                     AU$ ______
             including YOU CALL US telephone or E-mail support.
             ******************************************************
             Media Type: (High Density Only)  5.25"  [ ]  3.5"  [ ]
             ******************************************************
  

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                                                             TOTAL AU$
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   REGISTERED NAME(S)
   

   (1) NAME    __________________________________________
                  (Maximum of 35 characters)
   
   (2) NAME    __________________________________________
       
   
   (3) NAME    __________________________________________

   
   (4) NAME    __________________________________________
       
   
   (5) NAME    __________________________________________
       


