Print this order form out and give us an e-mail at tas@kwic.com

NAME:    _______________________________________

ADDRESS: _______________________________________
       
         _______________________________________

CITY:    _______________________________________

PROVINCE: ______________________________________
OR STATE

ZIP OR   _______________________________
POSTAL
CODE:

COUNTRY: _______________________________________

E-MAIL:  _______________________________________



TAPE NAME                              QUANTITY        PRICE

__________________________________     ____            _________

__________________________________     ____            _________

__________________________________     ____            _________

__________________________________     ____            _________

__________________________________     ____            _________


TOTAL:      ______________

SHIPPING:   ______________
$4.50 US
$4.50 CND
$8.00 INT
FREE $5-$7 TAPE IF ORDERING $50.00 OR MORE BEFORE SHIPPING

GRAND TOTAL:  _________________
IN US FUNDS