Mail Order Form

Name and Address (type or print clearly)

 First Name:    Last Name:
 Company Name:
 Number & Street:  City:
 State/Province:  Country:  Post/Zip code:
 Phone:  Fax:
 Email address:

Order Details:

Price per Unit Quantity Subtotal
 ConnectCNC, download only, per licence  

Use the "Print" button on your browser to print this form and mail it, with a cheque
drawn on a US bank for the total purchase amount to:
H Powell Consulting
305-9299 121st. Street,
Surrey, BC
Canada V3V 7X8

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