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Screen Saver

To place your order fill out the form below and mail with payment of $19.00 plus 2.00 Shipping/Handling for each saver ordered to:

Web Works Plus
Faye Gaddy
2040 Mitchell Mill Road
Gladys, VA   24554

This screen saver is designed for use with Windows 95/98 and Windows 95NT

(PLEASE PRINT THE FOLLOWING INFORMATION)

Name ________________________________________________
Address ________________________________________________
City/State/Zip ________________________________________________
Telephone ________________________________________________
Email ________________________________________________
   
Quantity Ordered   _______
Price per saver  (x) $   19.00
Shipping/Handling   _______  ($ 2.00 ea.  x  qty.)
(For overseas and international orders
please $5.00 S/H)
Total Enclosed $_______

Please allow  6 to 8 weeks for delivery

* If you are unable to print this order form,  you may provide the information as stated above on a plain sheet of paper.

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