ORDER FORM

CASTLE OAKS COMPUTER SERVICES

10632 E. 79th Street

Indianapolis, IN 46236

                                                             
                                                             Unit
QTY Product name                                             Cost  Total


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                                             Shipping and handling $5.00


                           Indiana residents add Indiana Sales Tax _____


                                                    Total enclosed _____

Specify disk size 5.25" __ or 3.5" __