Please fill out this form and send it along with your payment to the 
address below...

                        Julio Cesar Lica
                        7607 West Fountain Avenue
                        Apartment #1
                        Los Angeles, CA  90046

Please make checks payable to Julio Licea.

Please send any questions or comments to me via Internet at the 
following Internet address...

                        julio@ghs.uucp.usc.edu
-------------------------Please print or type--------------------------

[GEOC303]                                                  [Order Form]


Qty.            Description                     Price           Total
-----------------------------------------------------------------------

---------       Student Geometry Calculator    $10.00       ----------
                Program
                Standard Version
                
_________       Geometry Calculator Program    $2.00        __________
                Major Update

                Shipping and Handling          $1.00        __________

Note that all floppy disks sent will be 3.5", 720k disks.

                                                
                                                Total....... __________
                                                
Please fill out the following information...

Full Name: ___________________________________  Phone: _________________

Address (No P.O Box): _________________________________________________

City: ____________________________  State: ______  Zip Code: __________

Email address (if any): _______________________________________________


Signature (security purposes only): ___________________________________

Comments or Questions:

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________
