Name_____________________________________________________Date_________
Address__________________________________________Phone #______________
______________________________________________________________________
[ ] Average User
[ ] Programmer [ ] Hardware Designer
Product Name____________Price Each__________No. Items________Total____
Super AMS 128K N/A No Longer Available!
Super AMS 256K CALL
Super AMS 512K CALL
Super AMS 1024K CALL
Shipping & Handling $5.00_______________________________________
United States and Canada address only.
Total Price____________________________
[ ] Cash
[ ] Check (# ) [
] Money Order (# )