Software Mosaic Order Form
Currently, we do not accept credit cards or take orders over the phone.
Enclose your check or money order. Orders are shipped weekly.
Instructions: Print out or copy this page to use as your order form. Please include descriptions and quantities, as well as your personal shipping information. The prices listed below for shipping and handling apply only within the continental United States. If you live outside the continental United States please contact us
| First name: ________________
Last name ______________________ Mailing address: _______________________________________________ City: ____________________ State: ___________ Zip: ______________
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*Shipping and handling within the continental USA:
add $5.00 for each software ordered. Return
with check or money order to: Software
Mosaic Cape Coral, FL 33990
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