Order Form

           
            REGISTRATION/ORDER FORM FOR HOLIDAYS SHAREWARE     
       

    Your Name: _____________________________________________________

    Address:   _____________________________________________________

    City:      _____________________________________________________

    Province/State:___________________  Postal Code/ZIP: ___________

    e-mail address:_________________________________________________

   _________________________________________________________________


    Programs ordered:
    Holidays Series
    [ ]  Valentines Day--Valentine Hunt...........................................$10.00
    [ ]  St. Patrick's Day--The Leprechaun's Gold.................................$10.00
    [ ]  Easter--Easter Egg Hunt..................................................$10.00
    [ ]  Canada Day--Canada Crest Quest...........................................$10.00
    [ ]  Thanksgiving--Thanksgiving Cornucopia....................................$10.00
    [ ]  Halloween--Halloween Trick or Treat......................................$10.00
    [ ]  Remembrance Day--The Soldiers Return.....................................$10.00
    [ ]  Christmas--Christmas Morning Gifts.......................................$10.00
    [ ]  Birthday--Birthday Cake..................................................$10.00
    [ ]  Book Week--Library Book Search...........................................$10.00
    [ ]  UN Day--Flag Find........................................................$10.00

    Special package offer:
    [ ]  All of the above programs   (CD of programs).............................$50.00
    [ ]  Licence for Board-wide use of all programs..............................$200.00

    [ ] Check enclosed   [ ] Money order enclosed

    [ ] School Purchase Order Number:__________________


				.................................
				:  R. Jacob                     :
	Send To:		:  17 Regis Place               :
				:  London, Ontario              :
				:  N6K 2G6                      :
				:..................Canada.......:
 