ORDER FORM ______________________________________________________________ THE WILDERNESS WALKING STAFF ELECTRONIC BOOK 1 June 1995 ______________________________________________________________ Follow these steps to order your electronic book: #1. Fill out this form. #2. Mail this form with your check or money order to: PACIFIC QUILLWORKS The Wilderness Walking Staff Electronic Book 4402 Hilton Place Victoria, British Columbia, CANADA V8N-5L1 _______________________________________________________________ QUANTITY DISCOUNTS (Special to Boy Scout and Girl Scout Troops) _______________________________________________________________ No. of E-Books | % Discount | Price per unit after discount __________________|_____________|______________________________ 1 to 9 e-books | __ | $13.95 (Each) __________________|_____________|______________________________ 10 to 19 e-books | 10% | $12.55 (Each) __________________| ____________|______________________________ 20 to 49 e-books | 15% | $11.86 (Each) __________________|_____________|______________________________ 50 or more e-books| 20% | $11.16 (Each) __________________|_____________|______________________________ SHIPPING ADDRESS (please print clearly): NAME:............................................. STREET:............................................. CITY:............................................. PROV./STATE:............................................. ZIP/POSTAL CODE:............................................. _______________________________________________________________ QUANTITY x PRICE PER UNIT = TOTAL (P&H Included). __________|____________________|_______________________________ | | __________|____________________|_______________________________ Method of Payment: __________________ Check___(Canadian residents remit CAN funds. Add $2 per book.) M/O ___(US residents remit US funds. Prices are in US funds.) Note: The W.W.S.E.B. comes on a 3 1/2" computer diskette. Windows 3.11 (TM) is required.