Order Form: SCV Systems
Name ________________________________

Street ______________________________

City/State/Zip ______________________

E-Mail address ______________________



I would like to order the following SCV products:
       
   #      Description                Quantity   Each    Total

   CB1    ClipBar                     _____     $12     _____

   DY1    DayBrowser                  _____     $15     _____

   DB1    Delphi CodeBar              _____     $12     _____

   D1     Dots!			      _____     $8      _____

   MS1    MineScan                    _____     $8      _____

   SS1    Sound Shadows 1             _____     $8      _____

   SPT    Space Tycoon	              _____     $15     _____

   TY1    Stamp Tycoon                _____     $14     _____

   ST1    Stamp Wallpapers 1          _____     $7      _____
   ST2    Stamp Wallpapers 2          _____     $7      _____
   STB1   Stamp Wallpapers 1 & 2      _____     $12     _____

   SC1    StarScan                    _____     $8      _____

   SU1    Surreal Wallpapers 1        _____     $7      _____
   SU2    Surreal Wallpapers 2        _____     $7      _____
   SUB1   Surreal Wallpapers 1 & 2    _____     $12     _____
   SU3    Surreal Wallpapers 3        _____     $7      _____

   ZA1    Zip Advisor                 _____     $12     _____

              Add $1 per unit for shipping & handling = _____

              CA residents please add sales tax       = _____

                                                TOTAL = _____

Method of Payment:

____ Check   ____ Money Order   

____ VISA/MasterCard: Card # _____________________ Expires ______

Please mail to:

    SCV Systems
    2390 Crenshaw Blvd, Suite #802
    Torranca CA 90501 USA

Or, to place a credit card order, call Toll Free 1-888-781-4021 .

All items will be shipped within two weeks of order.

Thanks!

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