Cookie Terminator 1.1 Order Form
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1. Print this form.
2. Fill in the form. Please make sure that your E-mail address is clear.
3. Mail the printed form along with the payment to:

4Developers LLC,
1030 East El Camino Real #440
Sunnyvale, CA 94087
USA

Payments must be in US dollars drawn on a US bank, or
you can send international postal money orders in US dollars.
Please make checks payable to 4Developers LLC.
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Cookie Terminator Single Copy ____ copies at $14.95 each = ______

                     California Residents (add 8.25% tax)  ______
 
                                      Total payment        ______


            Name: ______________________ Date:___________

         Company: _______________________________________

         Address: _______________________________________

City, State, Zip: _______________________________________

         Country: _______________________________________

       Day Phone: ______________  Eve:  _________________

          E-mail: _______________________________________ (Write clearly)

How did you hear about Cookie Terminator ? ______________